{
  "hospital_name": "Doctors Hospital",
  "last_updated_on": "2025-01-22",
  "version": "2.2.0",
  "hospital_location": [
    "Doctors Hospital"
  ],
  "hospital_address": [
    "5100 W Broad St, Columbus, OH 43228"
  ],
  "license_information": {
    "license_number": "360152",
    "state": "OH"
  },
  "affirmation": {
    "affirmation": "To the best of its knowledge and belief, the hospital has included all applicable standard charge information in accordance with the requirements of 45 CFR 180.50, and the information encoded is true, accurate, and complete as of the date indicated.",
    "confirm_affirmation": true
  },
  "standard_charge_information": [
    {
      "description": "HC CT Abdomen W WO Contrast",
      "code_information": [
        {
          "code": "PX-35200029",
          "type": "CDM"
        },
        {
          "code": "74170",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1694,
          "discounted_cash": 1101.1,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 1240.01
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 161.96,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1439.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1102.79
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1236.62
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1694
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1439.9
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1439.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1246.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1694,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1370.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1102.79
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1236.62
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 160.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1439.9
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 462.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1389.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1389.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1389.08
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1404.33
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 160.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 160.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1490.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1694,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1102.79
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.5,
              "estimated_amount": 1245.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1246.78
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1236.62
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 160.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1439.9
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 160.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1694,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1485.64
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 161.96,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1370.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1294.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1294.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1694,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1694,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1694,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1694,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1694,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1694,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1439.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 931.7
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1404.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 1240.01
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 931.7
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 160.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 160.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1246.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1294.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1246.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1246.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1246.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1694,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 160.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1439.9
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1118.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1389.08
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 931.7
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 161.96,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 1240.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 1240.01
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1389.08
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 160.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1439.9
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1236.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1246.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1246.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1694,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1694,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1236.62
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1236.62
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1439.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 1240.01
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 168.38,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 1240.01
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 931.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1294.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1294.22
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 168.38,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1102.79
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.5,
              "estimated_amount": 1245.09
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1439.9
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 1101.1
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1439.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1694,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.5,
              "estimated_amount": 1245.09
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1270.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 1240.01
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 931.7
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 168.38,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1439.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1389.08
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 161.96,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 161.96,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1404.33
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 168.38,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1294.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1246.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1694,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.5,
              "estimated_amount": 1245.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1246.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1694,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 931.7
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1270.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1485.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1389.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1389.08
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1694,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1439.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1694,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1439.9
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1270.5
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1694,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1246.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1694,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 1240.01
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 931.7
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 160.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1246.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1694,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1694,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1102.79
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1694,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 370.99
            }
          ]
        }
      ]
    },
    {
      "description": "HC Set Cervical Collar Adult",
      "code_information": [
        {
          "code": "PX-27100004",
          "type": "CDM"
        },
        {
          "code": "27100004",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 93,
          "discounted_cash": 60.45,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 58.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 58.78
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 51.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 58.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 60.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 60.54
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 67.89
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 51.62
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 60.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 75.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 76.26
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 77.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 59.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 71.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 59.71
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 67.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 59.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 58.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 58.4
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 79.05
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 25.39
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 79.05
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 77.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 51.15
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 67.89
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 79.05
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 79.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 59.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 59.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 71.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 59.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 59.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 81.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 76.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 58.78
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 51.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 59.71
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 79.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 59.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 60.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 58.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 58.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 60.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 76.26
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 81.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 58.4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 79.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 59.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 58.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 75.24
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 60.54
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 67.89
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 79.05
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 61.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 58.78
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 51.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 51.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 51.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 58.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 60.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 60.36
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 51.62
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 51.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 59.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 58.4
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 60.45
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 69.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 69.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 58.78
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 79.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 76.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 76.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 76.26
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 77.1
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 79.05
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 79.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 71.05
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 67.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 58.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 76.26
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 51.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 71.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 71.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 58.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 58.4
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 67.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 71.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 59.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 60.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 58.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 51.62
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 79.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 58.78
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 79.05
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 69.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 58.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 58.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 81.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 76.26
            }
          ]
        }
      ]
    },
    {
      "description": "HC Traction Bucks Disp",
      "code_information": [
        {
          "code": "PX-27100023",
          "type": "CDM"
        },
        {
          "code": "27100023",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 32,
          "discounted_cash": 20.8,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 20.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 24.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 20.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 20.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 25.89
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 32
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 8.74
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 27.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 20.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 20.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 20.83
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 20.83
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 27.2
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 21.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 20.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 24.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 24.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 24.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 20.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 17.76
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 17.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 17.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 24.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 20.83
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 25.89
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 23.36
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 27.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 26.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 17.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 17.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 20.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 20.1
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 23.36
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 20.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 20.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 20.1
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 23.36
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 17.76
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 27.2
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 20.8
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 27.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 20.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 28.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 26.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 17.6
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 26.53
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 27.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 20.22
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 27.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 20.1
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 23.36
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 23.36
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 27.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 20.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 20.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 20.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 26.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 17.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 17.6
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 26.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 20.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 20.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 20.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 20.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 20.77
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 27.2
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 23.36
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 17.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 20.1
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 26.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 20.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 20.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 26.24
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 26.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 20.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 20.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 20.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 20.77
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 17.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 20.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 20.1
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 27.2
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 20.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 28.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 26.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 26.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 26.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 20.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 20.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 20.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 24.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 20.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 20.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 20.83
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 27.2
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 27.2
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 28.16
            }
          ]
        }
      ]
    },
    {
      "description": "HC Valve Pep Initial",
      "code_information": [
        {
          "code": "PX-27100027",
          "type": "CDM"
        },
        {
          "code": "27100027",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 112,
          "discounted_cash": 72.8,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 70.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 98.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 91.84
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 61.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 71.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 85.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 71.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 72.69
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 72.91
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 90.61
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 62.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 70.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 70.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 90.61
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 62.16
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 30.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 98.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 91.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 70.78
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 61.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 70.34
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 81.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 71.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 85.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 71.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 72.69
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 81.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 91.84
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 92.85
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 95.2
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 95.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 92.85
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 95.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 71.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 71.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 70.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 72.91
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 62.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 71.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 70.34
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 81.76
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 72.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 70.78
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 70.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 91.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 85.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 85.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 85.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 71.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 72.91
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 81.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 70.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 70.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 91.84
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 61.6
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 92.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 91.84
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 61.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 71.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 70.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 70.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 72.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 70.34
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 112
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 95.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 72.69
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 95.2
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 95.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 85.57
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 91.84
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 61.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 61.6
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 98.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 70.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 71.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 70.34
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 84
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 84
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 73.92
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 81.76
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 62.16
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 95.2
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 95.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 70.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 91.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 70.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 71.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 71.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 70.34
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 81.76
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 95.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 61.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 70.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 70.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 72.91
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 72.91
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 95.2
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 95.2
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 95.2
            }
          ]
        }
      ]
    },
    {
      "description": "Wound Cleanser Dakin's 5% Sol 16 Oz",
      "code_information": [
        {
          "code": "PX-CH-CK0436094616",
          "type": "CDM"
        },
        {
          "code": "A6260",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 27.66,
          "discounted_cash": 17.98,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 17.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 17.48
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 27.66,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 17.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 17.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 18.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 18.01
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 27.66,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 21.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 27.66,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 20.19
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 27.66,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 7.55
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 27.66,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 23.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 17.48
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 15.21
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 15.21
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 15.21
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 27.66,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 23.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 27.66,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 22.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 17.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 27.66,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 18.01
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 15.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 27.66,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 22.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 27.66,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 27.66,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 27.66,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 21.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 27.66,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 18.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 18.01
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 15.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 17.48
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 15.21
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 22.93
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 22.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 27.66,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 20.19
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 18.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 17.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 21.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 21.13
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 27.66,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 23.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 24.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 22.68
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 22.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 17.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 27.66,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 15.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 27.66,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 27.66,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 17.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 17.48
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 22.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 17.48
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 22.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 22.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 17.76
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 23.51
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 23.51
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 27.66,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 20.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 27.66,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 27.66,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 22.38
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 20.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 15.21
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 23.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 24.26
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 15.21
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 15.21
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 27.66,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 24.34
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 23.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 17.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 17.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 17.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 27.66,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 27.66,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 20.19
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 20.19
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 23.51
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 23.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 27.66,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 22.68
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 20.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 17.48
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 22.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 22.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 17.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 17.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 17.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 27.66,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 27.66,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 20.19
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 23.51
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 27.66
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 23.51
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 23.51
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 27.66,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 21.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 21.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 27.66,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 20.19
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 15.35
            }
          ]
        }
      ]
    },
    {
      "description": "Nutritional Ensure Plus Vanilla 8oz Can",
      "code_information": [
        {
          "code": "PX-CH-ROS50464",
          "type": "CDM"
        },
        {
          "code": "B4152",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2.43,
          "discounted_cash": 1.58,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1.97
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.77
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.99
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.56
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.99
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.99
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.34
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.58
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.58
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.99
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.56
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.77
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.07
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1.97
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.77
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.07
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.56
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.07
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.07
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.58
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 1.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.07
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2.01
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2.01
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 2.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.58
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.77
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2.43
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.99
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.99
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.99
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.34
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2.01
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.82
            }
          ]
        }
      ]
    },
    {
      "description": "Hydrogen Peroxide 4 Oz",
      "code_information": [
        {
          "code": "PX-CH-LI734896",
          "type": "CDM"
        },
        {
          "code": "A6260",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.98,
          "discounted_cash": 0.64,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.86
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.98,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.98,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.72
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.98,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 0.98,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.98,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.98,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.98,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.86
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.79
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.98,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.98,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 0.98,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.72
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.86
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.72
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.72
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.8
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.79
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.98,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.8
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.98,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "Cement Adhesive Bonding 4 Oz Can With Brush in Cap",
      "code_information": [
        {
          "code": "PX-CH-TR410",
          "type": "CDM"
        },
        {
          "code": "A4364",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 16.91,
          "discounted_cash": 10.99,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.69
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9.3
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 14.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.86
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12.34
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12.34
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 4.62
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 12.68
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 11.16
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.37
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 14.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12.34
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 9.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12.92
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.69
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9.3
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.37
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.69
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.37
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 12.68
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 13.68
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.37
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.37
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 13.68
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12.34
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12.34
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.37
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.69
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13.87
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13.87
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 12.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 14.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.69
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13.87
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 10.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 11.01
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 9.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.69
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 14.02
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9.3
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 9.39
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.37
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13.87
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9.3
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.37
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 14.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 14.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 11.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 11.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 11.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 11.01
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 16.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12.92
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 9.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13.87
            }
          ]
        }
      ]
    },
    {
      "description": "HC Clip Filshie",
      "code_information": [
        {
          "code": "PX-27200234",
          "type": "CDM"
        },
        {
          "code": "27200234",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 352,
          "discounted_cash": 228.8,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 222.46
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 193.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 268.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 221.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 221.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 221.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 225.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 228.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 221.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 229.15
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 291.81
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 288.64
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 193.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 268.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 284.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 268.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 225.98
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 256.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 222.46
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 193.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 222.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 288.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 288.64
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 264
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 299.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 221.06
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 299.2
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 264
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 299.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 225.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 268.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 221.06
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 256.96
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 195.36
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 299.2
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 299.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 222.46
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 193.6
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 291.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 225.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 268.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 221.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 221.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 221.06
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 256.96
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 195.36
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 299.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 225.98
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 299.2
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 264
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 222.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 288.64
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 291.81
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 309.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 228.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 229.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 229.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 225.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 229.15
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 299.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 193.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 221.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 229.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 225.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 221.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 221.06
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 352
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 195.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 222.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 222.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 288.64
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 299.2
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 299.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 225.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 268.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 225.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 228.45
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 232.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 225.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 284.77
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 256.96
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 299.2
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 228.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 288.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 288.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 222.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 308.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 308.7
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 299.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 221.06
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 256.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 225.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 225.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 228.45
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 256.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 288.64
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 193.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 193.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 195.36
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 96.1
            }
          ]
        }
      ]
    },
    {
      "description": "Tranquility Premium Underwear Medium 34 in - 48 In",
      "code_information": [
        {
          "code": "PX-CH-IMCPU2115",
          "type": "CDM"
        },
        {
          "code": "T4526",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1.18,
          "discounted_cash": 0.77,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.18,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.18,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.18,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.18,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.18,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.86
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.86
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.86
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1.03
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.18,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.18,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.18,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.9
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.86
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.86
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.18,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.18,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.18,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.18,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.18,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.18,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.86
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1.18
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.18,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.18,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1.03
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.18,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.65
            }
          ]
        }
      ]
    },
    {
      "description": "HC Splint Elbow Custom",
      "code_information": [
        {
          "code": "PX-27400005",
          "type": "CDM"
        },
        {
          "code": "L3702",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 846,
          "discounted_cash": 549.9,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 554.13
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 465.3
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 309.22,
              "estimated_amount": 309.22
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 309.22,
              "estimated_amount": 309.22
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 846,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 634.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 542.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 542.29
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 719.1
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 558.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 542.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 550.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 550.75
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 617.58
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 719.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 554.13
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 465.3
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 701.33
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 309.22,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 324.68,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 465.3
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 309.22,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 324.68,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 542.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 516.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 540.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 516.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 550.75
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 309.22,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 309.22,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 469.53
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 846,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 516.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 516.06
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 846,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 741.94
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 309.22,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 312.31,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 846,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 542.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 542.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 646.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 516.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 542.29
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 309.22,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 309.22,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 719.1
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 719.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 693.72
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 744.48
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 719.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 693.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 693.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 540.59
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 617.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 542.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 542.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 646.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 516.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 516.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 550.75
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 617.58
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 719.1
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 634.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 554.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 741.94
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 309.22,
              "estimated_amount": 309.22
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 309.22,
              "estimated_amount": 309.22
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 719.1
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 309.22,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 312.31,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 846,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 542.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 646.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 540.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 516.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 684.41
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 719.1
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 549.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 516.06
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 617.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 554.13
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 693.72
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 309.22,
              "estimated_amount": 309.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 554.13
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 465.3
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 701.33
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 309.22,
              "estimated_amount": 309.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 516.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 516.06
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 617.58
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 634.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 542.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 516.06
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 309.22,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 309.22,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 554.13
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 309.22,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 324.68,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 719.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 554.13
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 465.3
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 719.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 516.06
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 719.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 550.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 846
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 230.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 693.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 693.72
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 465.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 465.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 309.22,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 312.31,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 846,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 309.22,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 312.31,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 309.22,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 324.68,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 646.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 540.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 684.41
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 469.53
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 469.53
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 719.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 542.29
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 617.58
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 469.53
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 719.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 693.72
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 309.22,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 312.31,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 701.33
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 309.22,
              "estimated_amount": 309.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 646.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 646.34
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 719.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 554.13
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 693.72
            }
          ],
          "minimum": 309.22,
          "maximum": 309.22
        }
      ]
    },
    {
      "description": "Brace Ankle Stirrup Universal Off the Shelf",
      "code_information": [
        {
          "code": "PX-27400054",
          "type": "CDM"
        },
        {
          "code": "L4350",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 41,
          "discounted_cash": 26.65,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 26.86
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 33.62
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 33.62
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 33.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 31.32
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 34.85
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 27.06
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 29.93
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 22.76
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 34.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 33.62
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 33.62
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 34.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 26.86
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 22.55
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 30.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 26.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 26.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 26.69
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 29.93
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 41
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 22.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 26.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 26.69
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 33.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 26.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 26.86
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 34.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 31.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 25.01
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 36.08
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 22.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 22.55
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 33.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 26.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 26.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 26.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 25.01
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 34.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 25.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 26.69
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 33.62
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 33.99
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 34.85
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 34.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 26.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 26.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 25.01
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 26.65
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 29.93
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 22.76
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 34.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 34.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 26.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 26.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 35.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 33.62
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 22.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 33.62
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 22.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 31.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 31.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 25.01
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 34.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 26.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 25.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 25.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 26.69
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 33.17
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 22.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 33.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 25.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 26.69
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 11.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 26.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 26.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 25.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 25.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 25.01
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 29.93
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 29.93
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 29.93
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 34.85
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 30.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 35.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 22.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 26.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 26.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 25.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 26.2
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 30.75
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 34.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 26.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 26.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 26.86
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 22.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 31.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 26.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 31.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 25.01
            }
          ]
        }
      ]
    },
    {
      "description": "Compression System Profore 3 Layer Lite Latex Free",
      "code_information": [
        {
          "code": "PX-CH-UN66000415",
          "type": "CDM"
        },
        {
          "code": "A4649",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 21.7,
          "discounted_cash": 14.1,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 13.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 13.71
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 21.7,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 21.7,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 12.04
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 16.28
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 12.04
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 12.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 19.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 17.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 14.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 17.56
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 5.92
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 21.7,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 17.79
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 21.7,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 21.7,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 19.03
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.94
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 18.45
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 19.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 16.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 17.56
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 21.7,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 14.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.93
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 18.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 17.79
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 17.99
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 21.7,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 21.7,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 13.71
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.94
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.94
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 21.7,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 15.84
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 15.84
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 18.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 16.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 21.7,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 18.45
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 17.99
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 13.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 13.71
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 21.7,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 21.7,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 15.84
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 12.04
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 18.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 16.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.93
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 15.84
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 21.7,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 18.45
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 16.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 13.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 13.71
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 17.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 17.79
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.94
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 18.45
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 17.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 16.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 14.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 14.13
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 21.7,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 18.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 16.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 16.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 15.84
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.94
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 21.7,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 21.7,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 21.7,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 21.7,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 13.71
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 17.79
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 14.13
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 21.7,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 18.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 14.13
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.94
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 21.7,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 21.7,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 18.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 17.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 15.84
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 21.7,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 17.79
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 21.7,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 16.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 21.7
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 18.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.94
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 18.45
            }
          ]
        }
      ]
    },
    {
      "description": "Collar Cervical Off the Shelf",
      "code_information": [
        {
          "code": "PX-27400069",
          "type": "CDM"
        },
        {
          "code": "L0120",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 204,
          "discounted_cash": 132.6,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 133.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 178.91
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 112.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 169.12
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 31.12,
              "estimated_amount": 31.12
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 173.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 124.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 130.36
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 173.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 130.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 124.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 132.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 204
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 169.12
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 204,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 112.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 112.2
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 173.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 155.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 155.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 124.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 124.44
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 148.92
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 204,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 130.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 130.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 124.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 124.44
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 31.12,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 31.12,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 173.4
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 153
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 31.12,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 31.43,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 31.12,
              "estimated_amount": 31.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 133.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 133.62
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 167.28
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 31.12,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 31.43,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 130.76
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 132.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 130.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 130.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 132.8
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 173.4
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 31.12,
              "estimated_amount": 31.12
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 173.4
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 153
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 167.28
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 31.12,
              "estimated_amount": 31.12
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 31.12,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 32.68,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 204,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 173.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 130.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 130.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 124.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 124.44
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 113.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 130.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 124.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 178.91
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 167.28
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 204,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 124.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 130.36
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 165.04
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 165.04
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 113.22
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 31.12,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 31.12,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 124.44
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 148.92
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 173.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 133.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 133.62
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 167.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 112.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 169.12
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 31.12,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 32.68,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 31.12,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 32.68,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 204,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 133.62
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 167.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 112.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 31.12,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 31.43,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 155.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 124.44
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 55.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 155.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 155.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 130.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 130.36
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 148.92
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 148.92
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 173.4
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 173.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 112.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 31.12,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 31.43,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 31.12,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 32.68,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 167.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 167.28
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 179.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 155.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 124.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 130.76
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 153
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 31.12,
              "estimated_amount": 31.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 133.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 133.62
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 31.12,
              "estimated_amount": 31.12
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 31.12,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 31.43,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 148.92
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 113.22
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 204,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 130.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 132.8
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 148.92
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 31.12,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 31.12,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 173.4
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 134.64
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 173.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 167.28
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 31.12,
              "estimated_amount": 31.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 130.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 132.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 132.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 113.22
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 173.4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 173.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 112.2
            }
          ],
          "minimum": 31.12,
          "maximum": 31.12
        }
      ]
    },
    {
      "description": "1 Pc Pre Cut Std Wear 1 3/8 Sensura Mio",
      "code_information": [
        {
          "code": "PX-CH-CO10476",
          "type": "CDM"
        },
        {
          "code": "A4424",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 6.53,
          "discounted_cash": 4.24,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.13
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.59
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.19
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 6.53
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.55
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 6.53,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.77
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.55
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.13
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.59
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 5.28
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.62
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 6.53,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.55
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.77
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.77
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.59
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.13
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.59
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.59
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.55
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.77
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.59
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 5.41
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 5.75
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 5.41
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4.9
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 5.28
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 5.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.13
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 5.73
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.19
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.62
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1.78
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.59
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.35
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 5.41
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.55
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 4.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.77
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.77
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.13
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.35
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.53,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "Island Composite Drsg Adhesive Tegaderm Abs 3 1/2 in X 4 In",
      "code_information": [
        {
          "code": "PX-CH-3M3586",
          "type": "CDM"
        },
        {
          "code": "A6203",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1.48,
          "discounted_cash": 0.96,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.94
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.48,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.48,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.48,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1.3
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.48,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.48,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.21
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.21
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.48,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.48,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.48,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.48,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.48,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.48,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1.48,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.21
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.48,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.26
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.48,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.48,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.48,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.48,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.26
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.48,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.26
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.48,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.48,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.48,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.48,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.48,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.94
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.48,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.13
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.26
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.48,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.21
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.48,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.48,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.94
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.48,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.48,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.26
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.48,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1.2
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.21
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.21
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.48,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.48,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.48,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.48,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1.48,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.48,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.48,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.48,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.13
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.48,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.21
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.48,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "2 Pc Pouch 2 1/4 in New Image High Output",
      "code_information": [
        {
          "code": "PX-CH-HO18013",
          "type": "CDM"
        },
        {
          "code": "A4412",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 4.53,
          "discounted_cash": 2.94,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.86
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.31
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.85
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.86
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.86
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.31
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.85
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.49
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.86
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.51
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.51
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1.24
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.4
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.85
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.86
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3.76
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3.97
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.86
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.91
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.46
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.31
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 2.99
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.49
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.49
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 3.99
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.86
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.31
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.91
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3.66
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3.97
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.49
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.91
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.51
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 4.53
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.85
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4.53,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.46
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4.53,
              "additional_payer_notes": "OUTPATIENT"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Blood Product Pooling",
      "code_information": [
        {
          "code": "PX-30000017",
          "type": "CDM"
        },
        {
          "code": "86965",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 297,
          "discounted_cash": 193.05,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 260.47
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 243.54
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 150.57,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 153.22,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 226.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 190.67
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 216.81
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 164.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 226.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 589.69,
              "estimated_amount": 589.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 589.69,
              "estimated_amount": 589.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 589.69,
              "estimated_amount": 589.69
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 216.81
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 145.92,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 252.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 187.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 187.7
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 145.92,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 252.45
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 252.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 589.69,
              "estimated_amount": 589.69
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 216.81
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 164.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 226.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 226.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 589.69,
              "estimated_amount": 589.69
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 145.92,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 81.08
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 222.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 187.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 187.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 163.35
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 153.22,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.35,
              "estimated_amount": 16.35
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 297,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 246.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 190.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 190.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 190.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 589.69,
              "estimated_amount": 589.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 589.69,
              "estimated_amount": 589.69
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 216.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 589.69,
              "estimated_amount": 589.69
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 252.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 243.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 243.54
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 163.35
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 261.36
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 243.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 243.54
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 163.35
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 246.21
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 145.92,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 190.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 190.67
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 193.35
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 216.81
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 222.75
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 252.45
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 222.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 163.35
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 297,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 190.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 190.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 589.69,
              "estimated_amount": 589.69
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 240.27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 193.35
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 193.05
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 252.45
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 196.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 589.69,
              "estimated_amount": 589.69
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 252.45
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.35,
              "estimated_amount": 16.35
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.35,
              "estimated_amount": 16.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 187.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 243.54
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 163.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 150.57,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 145.92,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 150.57,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 145.92,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 190.67
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 297,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 252.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 190.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 226.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 589.69,
              "estimated_amount": 589.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 589.69,
              "estimated_amount": 589.69
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 216.81
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 252.45
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 252.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 187.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 260.47
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 243.54
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 150.57,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 150.57,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 589.69,
              "estimated_amount": 589.69
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 193.35
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 164.84
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 145.92,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 252.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 190.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 190.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 589.69,
              "estimated_amount": 589.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 589.69,
              "estimated_amount": 589.69
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 240.27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 193.35
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 193.35
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 297
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 252.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 163.35
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 145.92,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 153.22,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 153.22,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 252.45
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 145.92,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 226.91
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 252.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 164.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 187.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 187.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 243.54
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 163.35
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 145.92,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 589.69,
              "estimated_amount": 589.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 589.69,
              "estimated_amount": 589.69
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 246.21
            }
          ],
          "minimum": 16.35,
          "maximum": 589.69
        }
      ]
    },
    {
      "description": "Tray Suture Removal",
      "code_information": [
        {
          "code": "PX-CH-DY4521",
          "type": "CDM"
        },
        {
          "code": "A4649",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.87,
          "discounted_cash": 0.57,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.71
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.87,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.87,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.87,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.87,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.87,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.87,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.87,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.87,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.87,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.87,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.87,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.87,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.71
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.71
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.71
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.87,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.72
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.7
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.87,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.71
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.71
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.87,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.87,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.87,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.87,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.87,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.87,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.87,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.71
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.72
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.87,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.7
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 0.87,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.87,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.87,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.87,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.87,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.87,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.72
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.87,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.87,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.87,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.87,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.87,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.87,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 0.87,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.71
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.87,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.87,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.87,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.87,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.87,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 1.64,
          "discounted_cash": 1.07,
          "payers_information": [
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.07
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.2
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.2
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.39
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.34
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.9
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.25
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.9
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.36
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.07
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.2
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.39
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.07
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.91
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.07
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1.33
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.91
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.07
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.36
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.39
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 1.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1.33
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.34
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.9
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.39
            }
          ]
        }
      ]
    },
    {
      "description": "HC Lithium",
      "code_information": [
        {
          "code": "PX-30100030",
          "type": "CDM"
        },
        {
          "code": "80178",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 82,
          "discounted_cash": 53.3,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 36.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 45.1
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.61,
              "estimated_amount": 6.61
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 6.61,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 6.94,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 6.61,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 6.94,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.64,
              "estimated_amount": 15.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.79,
              "estimated_amount": 24.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.79,
              "estimated_amount": 24.79
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 41
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 59.86
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 59.86
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.03,
              "estimated_amount": 15.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.79,
              "estimated_amount": 24.79
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 69.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 36.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 36.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 45.1
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 41
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 41
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.61,
              "estimated_amount": 6.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 36.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 6.61,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 6.68,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.79,
              "estimated_amount": 24.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.79,
              "estimated_amount": 24.79
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 41
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.44,
              "estimated_amount": 5.44
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 6.61,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 6.61,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 6.61,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 6.61,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.64,
              "estimated_amount": 15.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.79,
              "estimated_amount": 24.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 67.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 67.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 45.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 45.1
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 41
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 82,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 36.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 67.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.79,
              "estimated_amount": 24.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.79,
              "estimated_amount": 24.79
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 41
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.44,
              "estimated_amount": 5.44
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 6.61,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 6.61,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 69.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.79,
              "estimated_amount": 24.79
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 36.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 67.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 45.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 6.61,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 6.68,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 69.7
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 82,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 61.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.79,
              "estimated_amount": 24.79
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.44,
              "estimated_amount": 5.44
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 53.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.64,
              "estimated_amount": 15.64
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 69.7
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 69.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 6.61,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 6.68,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 6.61,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 6.68,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 36.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 67.24
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.61,
              "estimated_amount": 6.61
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.66,
              "estimated_amount": 9.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.64,
              "estimated_amount": 15.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.79,
              "estimated_amount": 24.79
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 61.5
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 69.7
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 54.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.03,
              "estimated_amount": 15.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.03,
              "estimated_amount": 15.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.79,
              "estimated_amount": 24.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.79,
              "estimated_amount": 24.79
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 41
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 69.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 36.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 67.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 67.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 45.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 6.61,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 6.68,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 6.61,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 6.94,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 67.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.64,
              "estimated_amount": 15.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.64,
              "estimated_amount": 15.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.79,
              "estimated_amount": 24.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.79,
              "estimated_amount": 24.79
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.66,
              "estimated_amount": 9.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.64,
              "estimated_amount": 15.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.64,
              "estimated_amount": 15.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.03,
              "estimated_amount": 15.03
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 59.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 36.9
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 69.7
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.61,
              "estimated_amount": 6.61
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.61,
              "estimated_amount": 6.61
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 69.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.03,
              "estimated_amount": 15.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.64,
              "estimated_amount": 15.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.79,
              "estimated_amount": 24.79
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 41
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 59.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.03,
              "estimated_amount": 15.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.64,
              "estimated_amount": 15.64
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 59.86
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 59.86
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.44,
              "estimated_amount": 5.44
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 69.7
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 69.7
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 69.7
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 82,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 6.61,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 6.94,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 69.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 45.1
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.61,
              "estimated_amount": 6.61
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 72.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.64,
              "estimated_amount": 15.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.64,
              "estimated_amount": 15.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.79,
              "estimated_amount": 24.79
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 69.7
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 25,
              "estimated_amount": 20.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 36.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 41
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.66,
              "estimated_amount": 9.66
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 61.5
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.61,
              "estimated_amount": 6.61
            }
          ],
          "minimum": 5.44,
          "maximum": 24.79
        }
      ]
    },
    {
      "description": "Msh2 Gene Full Sequence Analysis Sendout",
      "code_information": [
        {
          "code": "PX-30100081",
          "type": "CDM"
        },
        {
          "code": "81295",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2183,
          "discounted_cash": 1418.95,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2183,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1790.06
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1855.55
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1593.59
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2183
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 381.7,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 381.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 265.21,
              "estimated_amount": 265.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 1364.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2183,
              "additional_payer_notes": "REFERENCE LAB"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1431.38,
              "estimated_amount": 1431.38
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 1091.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1855.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1790.06
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1200.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2183,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1790.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1431.38,
              "estimated_amount": 1431.38
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 1091.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1593.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1431.38,
              "estimated_amount": 1431.38
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 265.21,
              "estimated_amount": 265.21
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 25,
              "estimated_amount": 545.75
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 381.7,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 400.79,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 381.7,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 385.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 478.08
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1855.55
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1855.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 1364.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 1364.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 1364.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1431.38,
              "estimated_amount": 1431.38
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 265.21,
              "estimated_amount": 265.21
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1637.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 1364.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1431.38,
              "estimated_amount": 1431.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1431.38,
              "estimated_amount": 1431.38
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1855.55
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 148.83,
              "estimated_amount": 148.83
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1637.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 1091.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1593.59
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 265.21,
              "estimated_amount": 265.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 1364.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 1364.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1431.38,
              "estimated_amount": 1431.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1431.38,
              "estimated_amount": 1431.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1956.4,
              "estimated_amount": 1956.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1200.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 381.7,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 385.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1200.65
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 1091.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 1091.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 1091.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1855.55
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 148.83,
              "estimated_amount": 148.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2183,
              "additional_payer_notes": "REFERENCE LAB"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1431.38,
              "estimated_amount": 1431.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1200.65
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 381.7,
              "estimated_amount": 381.7
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 381.7,
              "estimated_amount": 381.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1431.38,
              "estimated_amount": 1431.38
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1921.04
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1855.55
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1637.25
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 381.7,
              "estimated_amount": 381.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 1364.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 1364.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2183,
              "additional_payer_notes": "REFERENCE LAB"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1431.38,
              "estimated_amount": 1431.38
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1593.59
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 381.7,
              "estimated_amount": 381.7
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 1418.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1790.06
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 1091.5
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 381.7,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 400.79,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1790.06
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1200.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 381.7,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 385.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 381.7,
              "estimated_amount": 381.7
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 381.7,
              "estimated_amount": 381.7
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1855.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1431.38,
              "estimated_amount": 1431.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1431.38,
              "estimated_amount": 1431.38
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1593.59
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 381.7,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 381.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1855.55
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1855.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2183,
              "additional_payer_notes": "REFERENCE LAB"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1431.38,
              "estimated_amount": 1431.38
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 1091.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 1091.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1956.4,
              "estimated_amount": 1956.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1200.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 381.7,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 385.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 381.7,
              "estimated_amount": 381.7
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 381.7,
              "estimated_amount": 381.7
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 381.7,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 400.79,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 381.7,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 400.79,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2183,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2183,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1790.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1790.06
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 381.7,
              "estimated_amount": 381.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2183,
              "additional_payer_notes": "REFERENCE LAB"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 1364.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1431.38,
              "estimated_amount": 1431.38
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1593.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 1364.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2183,
              "additional_payer_notes": "REFERENCE LAB"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1431.38,
              "estimated_amount": 1431.38
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 381.7,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 381.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1855.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2183,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2183,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2183,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1790.06
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1200.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 381.7,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 385.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 1364.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1431.38,
              "estimated_amount": 1431.38
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 1091.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1855.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2183,
              "additional_payer_notes": "Reference Lab"
            }
          ],
          "minimum": 148.83,
          "maximum": 1956.4
        }
      ]
    },
    {
      "description": "HC Narcolepsy Associated Ag",
      "code_information": [
        {
          "code": "PX-30100105",
          "type": "CDM"
        },
        {
          "code": "81383",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 210,
          "discounted_cash": 136.5,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 132.72
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 115.5
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 178.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 134.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 409.24,
              "estimated_amount": 409.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 160.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 409.24,
              "estimated_amount": 409.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 409.24,
              "estimated_amount": 409.24
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 136.71
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 210
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 172.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 409.24,
              "estimated_amount": 409.24
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 136.71
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 153.3
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 153.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 134.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 409.24,
              "estimated_amount": 409.24
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 136.71
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 178.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 178.5
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 184.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 409.24,
              "estimated_amount": 409.24
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 136.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 134.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 409.24,
              "estimated_amount": 409.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 409.24,
              "estimated_amount": 409.24
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 169.89
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 115.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 174.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 134.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 160.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 160.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 169.89
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 116.55
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 138.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 134.82
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 136.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 132.72
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 115.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 132.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 132.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 172.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 409.24,
              "estimated_amount": 409.24
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 116.55
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 178.5
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 57.33
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 157.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 134.82
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 153.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 132.72
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 115.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 115.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 172.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 134.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 160.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 134.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 409.24,
              "estimated_amount": 409.24
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 153.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 160.44
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 116.55
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 178.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 184.17
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 172.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 115.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 174.09
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 178.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 132.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 172.2
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 178.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 134.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 409.24,
              "estimated_amount": 409.24
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 136.71
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 153.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 409.24,
              "estimated_amount": 409.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 409.24,
              "estimated_amount": 409.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 409.24,
              "estimated_amount": 409.24
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 178.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 132.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 134.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 134.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 134.82
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 116.55
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 178.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 160.44
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 153.3
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 157.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 132.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 184.17
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 172.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 115.5
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 178.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 409.24,
              "estimated_amount": 409.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 409.24,
              "estimated_amount": 409.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 409.24,
              "estimated_amount": 409.24
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 178.5
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 178.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 172.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 172.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 174.09
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 157.5
            }
          ],
          "minimum": 409.24,
          "maximum": 409.24
        }
      ]
    },
    {
      "description": "HC Alpha Fetoprotein Serum",
      "code_information": [
        {
          "code": "PX-30100131",
          "type": "CDM"
        },
        {
          "code": "82105",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 71,
          "discounted_cash": 46.15,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 44.87
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 58.22
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.77,
              "estimated_amount": 16.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 45.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 45.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 45.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 62.89,
              "estimated_amount": 62.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 46.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 54.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 62.89,
              "estimated_amount": 62.89
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 51.83
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 16.77,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16.77,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 39.41
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 39.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 44.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 62.27
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 58.22
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 39.05
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 60.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 45.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 62.89,
              "estimated_amount": 62.89
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 51.83
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 60.35
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 60.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 45.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 54.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 62.89,
              "estimated_amount": 62.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 62.89,
              "estimated_amount": 62.89
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 51.83
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 46.86
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 16.77,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 17.61,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 16.77,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 17.61,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 71,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 58.22
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 16.77,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16.94,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 16.77,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16.94,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 54.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 62.89,
              "estimated_amount": 62.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 46.22
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 57.44
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 60.35
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 60.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 45.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 54.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 62.89,
              "estimated_amount": 62.89
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 16.77,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16.77,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 39.41
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 60.35
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 46.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 44.87
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 39.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 16.77,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16.94,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 16.77,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 17.61,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 60.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 44.87
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 39.05
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.77,
              "estimated_amount": 16.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 62.89,
              "estimated_amount": 62.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 46.22
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 71
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 39.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 44.87
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 58.22
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.77,
              "estimated_amount": 16.77
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 60.35
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 60.35
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 51.83
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 53.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 45.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 62.89,
              "estimated_amount": 62.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 62.89,
              "estimated_amount": 62.89
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 16.77,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16.94,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 58.86
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 58.86
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 39.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 54.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 62.89,
              "estimated_amount": 62.89
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 60.35
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 53.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 45.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 45.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 62.89,
              "estimated_amount": 62.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 46.22
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 60.35
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 19.38
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 60.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 58.22
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 39.05
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.77,
              "estimated_amount": 16.77
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 71,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 62.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 44.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 62.89,
              "estimated_amount": 62.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 62.89,
              "estimated_amount": 62.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 46.22
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 57.44
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.5,
              "estimated_amount": 24.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 54.24
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 51.83
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.5,
              "estimated_amount": 24.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 58.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 58.22
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 39.05
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.77,
              "estimated_amount": 16.77
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.77,
              "estimated_amount": 16.77
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 16.77,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 17.61,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.77,
              "estimated_amount": 16.77
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.5,
              "estimated_amount": 24.5
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 53.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 45.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 45.58
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 39.41
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 60.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 45.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 62.89,
              "estimated_amount": 62.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 62.89,
              "estimated_amount": 62.89
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 51.83
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 16.77,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16.77,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 60.35
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 58.86
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 71,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 62.89,
              "estimated_amount": 62.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 44.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 44.87
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 58.22
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 16.77,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16.94,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 62.48
            }
          ],
          "minimum": 16.77,
          "maximum": 62.89
        }
      ]
    },
    {
      "description": "HC Transfusion Fetal Intrauterine",
      "code_information": [
        {
          "code": "PX-39100002",
          "type": "CDM"
        },
        {
          "code": "36460",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1045,
          "discounted_cash": 679.25,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 660.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 574.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 574.75
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 888.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 845.41
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 579.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1045,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 579.98
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 888.25
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 783.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 856.9
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 378.88,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 397.82,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 397.82,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 670.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 680.3
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 762.85
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 378.88,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 888.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 670.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 798.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 798.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 670.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 798.38
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 579.98
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 888.25
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 888.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 916.47
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 378.88,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 660.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 574.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 574.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 382.67,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 397.82,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 378.88,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 888.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1045,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1045,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1045,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 762.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1045
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1045,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1045,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 680.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 680.3
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 762.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 660.44
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 866.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 660.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 574.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 382.67,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 670.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 670.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 670.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1045,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1045,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1045,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 285.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 670.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 798.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 670.89
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 679.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 660.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 856.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 856.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 574.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 916.47
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 378.88,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 670.89
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 888.25
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 888.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1045,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 762.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 888.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 378.88,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 888.25
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 888.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 660.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 856.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1045,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 762.85
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1045,
              "additional_payer_notes": " ASC LISTED"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 670.89
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 762.85
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 888.25
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1045,
              "additional_payer_notes": " ASC LISTED"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 856.9
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 382.67,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 919.6
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1045,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 660.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 856.9
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 378.88,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 378.88,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "estimated_amount": 1787
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 670.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1045,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 689.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 798.38
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 680.3
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1045,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 382.67,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 856.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 382.67,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 866.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 798.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 670.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1045,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1045,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1045,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1045,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 680.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 845.41
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 783.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1045,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 378.88,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 888.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 660.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 856.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 574.75
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 866.31
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 579.98
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 378.88,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 888.25
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1045,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 397.82,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 783.75
            }
          ]
        }
      ]
    },
    {
      "description": "Atomic Absorption Spectroscopy Ea Analyte Sendout",
      "code_information": [
        {
          "code": "PX-30100152",
          "type": "CDM"
        },
        {
          "code": "82525",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 404,
          "discounted_cash": 262.6,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 181.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 181.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 27.95,
              "estimated_amount": 27.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 46.54,
              "estimated_amount": 46.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 46.54,
              "estimated_amount": 46.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 202
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 294.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 29.07,
              "estimated_amount": 29.07
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 343.4
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 343.4
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 303
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 343.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 331.28
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 12.41,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 12.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.41,
              "estimated_amount": 12.41
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 343.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 12.41,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 12.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 343.4
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 355.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 29.07,
              "estimated_amount": 29.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 29.07,
              "estimated_amount": 29.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 46.54,
              "estimated_amount": 46.54
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 343.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 181.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 331.28
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 12.41,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.03,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.41,
              "estimated_amount": 12.41
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 404,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 343.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 181.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 222.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 222.2
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 404,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 27.95,
              "estimated_amount": 27.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 29.07,
              "estimated_amount": 29.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 46.54,
              "estimated_amount": 46.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 46.54,
              "estimated_amount": 46.54
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 343.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 27.95,
              "estimated_amount": 27.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 46.54,
              "estimated_amount": 46.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 181.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 12.41,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 12.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 404,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 181.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 181.8
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.41,
              "estimated_amount": 12.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 27.95,
              "estimated_amount": 27.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 29.07,
              "estimated_amount": 29.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 46.54,
              "estimated_amount": 46.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 46.54,
              "estimated_amount": 46.54
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 12.41,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 12.41,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.14,
              "estimated_amount": 18.14
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 262.6
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 266.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 29.07,
              "estimated_amount": 29.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 46.54,
              "estimated_amount": 46.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 202
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 343.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 331.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 222.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 202
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.41,
              "estimated_amount": 12.41
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 303
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 181.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 331.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 222.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 222.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 29.07,
              "estimated_amount": 29.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 46.54,
              "estimated_amount": 46.54
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10.65,
              "estimated_amount": 10.65
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 12.41,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 12.41,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 343.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 29.07,
              "estimated_amount": 29.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 29.07,
              "estimated_amount": 29.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 29.07,
              "estimated_amount": 29.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 46.54,
              "estimated_amount": 46.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 202
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 202
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 294.92
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 294.92
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 343.4
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 303
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.41,
              "estimated_amount": 12.41
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 12.41,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.03,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 343.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 181.8
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 202
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 46.54,
              "estimated_amount": 46.54
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.14,
              "estimated_amount": 18.14
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 294.92
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 294.92
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10.65,
              "estimated_amount": 10.65
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 12.41,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 12.41,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 343.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 29.07,
              "estimated_amount": 29.07
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 202
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 343.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 181.8
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 12.41,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.03,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 12.41,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 12.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 331.28
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.41,
              "estimated_amount": 12.41
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.41,
              "estimated_amount": 12.41
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 12.41,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.03,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 27.95,
              "estimated_amount": 27.95
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10.65,
              "estimated_amount": 10.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 27.95,
              "estimated_amount": 27.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 46.54,
              "estimated_amount": 46.54
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 294.92
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10.65,
              "estimated_amount": 10.65
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.14,
              "estimated_amount": 18.14
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 222.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 331.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 331.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 222.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 12.41,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 12.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 202
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 29.07,
              "estimated_amount": 29.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 46.54,
              "estimated_amount": 46.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 46.54,
              "estimated_amount": 46.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 202
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 25,
              "estimated_amount": 101
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 202
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 46.54,
              "estimated_amount": 46.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 46.54,
              "estimated_amount": 46.54
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 404
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 331.28
            }
          ],
          "minimum": 10.65,
          "maximum": 46.54
        }
      ]
    },
    {
      "description": "HC Occult Blood Stool 1-3 Simult Det",
      "code_information": [
        {
          "code": "PX-30100161",
          "type": "CDM"
        },
        {
          "code": "82272",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 87,
          "discounted_cash": 56.55,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 54.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 54.98
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 47.85
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 76.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 55.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.86,
              "estimated_amount": 15.86
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 63.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.86,
              "estimated_amount": 15.86
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 56.64
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 48.29
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 73.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 54.98
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 71.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 54.98
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 65.25
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 73.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 66.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.86,
              "estimated_amount": 15.86
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 70.38
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 55.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 48.29
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 72.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 54.98
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 71.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 66.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 55.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 55.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.86,
              "estimated_amount": 15.86
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 56.64
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 56.64
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 63.51
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 56.55
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 65.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 55.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 55.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.86,
              "estimated_amount": 15.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.86,
              "estimated_amount": 15.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.86,
              "estimated_amount": 15.86
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 73.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 54.98
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 47.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 76.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 47.85
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 72.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.86,
              "estimated_amount": 15.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.86,
              "estimated_amount": 15.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.86,
              "estimated_amount": 15.86
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 73.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 55.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.86,
              "estimated_amount": 15.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.86,
              "estimated_amount": 15.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 54.98
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 47.85
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 73.95
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 73.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.86,
              "estimated_amount": 15.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 66.47
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 70.38
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 73.95
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 65.25
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 73.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 71.34
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 72.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 54.98
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 71.34
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 47.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 73.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 66.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 55.85
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 63.51
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 48.29
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 47.85
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 63.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 55.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 55.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.86,
              "estimated_amount": 15.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.86,
              "estimated_amount": 15.86
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 63.51
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 23.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 47.85
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 73.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 71.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 55.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 66.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.86,
              "estimated_amount": 15.86
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 56.64
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 56.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 55.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.86,
              "estimated_amount": 15.86
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 63.51
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 73.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 76.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 71.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 71.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 66.47
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 48.29
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 73.95
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 57.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 71.34
            }
          ],
          "minimum": 15.86,
          "maximum": 15.86
        }
      ]
    },
    {
      "description": "HC Vitamin D Total 25-Oh",
      "code_information": [
        {
          "code": "PX-30100163",
          "type": "CDM"
        },
        {
          "code": "82306",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 134,
          "discounted_cash": 87.1,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 84.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 84.69
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 109.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 109.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 109.88
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 29.6,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 31.08,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 43.25,
              "estimated_amount": 43.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 86.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 111,
              "estimated_amount": 111
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 111,
              "estimated_amount": 111
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 86.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 87.23
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 97.82
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 87.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 117.52
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 73.7
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 134,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 113.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 84.69
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 29.6,
              "estimated_amount": 29.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 102.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 111,
              "estimated_amount": 111
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 111,
              "estimated_amount": 111
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 108.41
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 97.82
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 97.82
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 36.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 86.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 86.03
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 74.37
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 29.6,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 29.9,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 29.6,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 29.9,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 117.92
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 134,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 84.69
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 29.6,
              "estimated_amount": 29.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 86.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 111,
              "estimated_amount": 111
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 111,
              "estimated_amount": 111
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 113.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 111,
              "estimated_amount": 111
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 97.82
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 111.09
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 111.09
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 113.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 109.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 86.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 102.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 111,
              "estimated_amount": 111
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 87.23
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 113.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 111,
              "estimated_amount": 111
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 84.69
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 100.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 117.52
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 74.37
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 74.37
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 97.82
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 29.6,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 29.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 29.6,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 29.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 113.9
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 100.5
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 100.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 111.09
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 29.6,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 31.08,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 29.6,
              "estimated_amount": 29.6
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 113.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 84.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 84.69
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 109.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 86.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 111,
              "estimated_amount": 111
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 111,
              "estimated_amount": 111
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 134
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 102.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 86.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 111,
              "estimated_amount": 111
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 111,
              "estimated_amount": 111
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 87.23
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 29.6,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 29.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 88.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 73.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 29.6,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 29.9,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 29.6,
              "estimated_amount": 29.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 109.88
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 73.7
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 29.6,
              "estimated_amount": 29.6
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 29.6,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 31.08,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 113.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 111,
              "estimated_amount": 111
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 108.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 87.23
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 113.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 86.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 86.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 87.23
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 74.37
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 43.25,
              "estimated_amount": 43.25
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 113.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 109.88
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 73.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 29.6,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 29.9,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 102.38
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 113.9
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 113.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 86.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 86.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 102.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 111,
              "estimated_amount": 111
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 113.9
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 43.25,
              "estimated_amount": 43.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 73.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 73.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 73.7
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 29.6,
              "estimated_amount": 29.6
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 29.6,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 29.9,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 29.6,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 31.08,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 134,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 102.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 111,
              "estimated_amount": 111
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 111,
              "estimated_amount": 111
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 97.82
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 113.9
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 113.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 84.69
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 109.88
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 29.6,
              "estimated_amount": 29.6
            }
          ],
          "minimum": 29.6,
          "maximum": 111
        }
      ]
    },
    {
      "description": "Moisture Barrier Antifungal Cream Baza Cream 5 Oz.",
      "code_information": [
        {
          "code": "PX-CH-SW1607",
          "type": "CDM"
        },
        {
          "code": "A6250",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 17.32,
          "discounted_cash": 11.26,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 13.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 13.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 11.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 11.28
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 9.61
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 9.61
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 17.32,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12.64
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12.64
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 9.61
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 17.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 15.19
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 4.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 13.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 17.32,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 17.32,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 14.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 14.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9.53
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12.64
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 12.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 13.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 11.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 17.32,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9.53
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 17.32,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 14.36
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 14.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 17.32,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 15.24
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 12.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 11.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 9.61
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 11.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9.53
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12.64
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 11.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 11.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 11.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 14.2
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 14.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 11.12
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.72
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 11.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 11.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 11.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12.64
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12.64
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 17.32,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 14.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 14.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 14.36
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 14.36
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 13.23
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 17.32,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.72
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 11.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 11.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 14.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 11.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 11.28
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 17.32,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 14.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9.53
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 17.32,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 13.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 11.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 11.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 14.01
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 15.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 17.32,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.72
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.72
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.72
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 12.99
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9.53
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 17.32,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "Cholinesterase RBC Sendout",
      "code_information": [
        {
          "code": "PX-30100187",
          "type": "CDM"
        },
        {
          "code": "82482",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 65,
          "discounted_cash": 42.25,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 65,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 53.3
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.81,
              "estimated_amount": 9.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.59,
              "estimated_amount": 8.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.93,
              "estimated_amount": 8.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.93,
              "estimated_amount": 8.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 36.79,
              "estimated_amount": 36.79
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.96,
              "estimated_amount": 9.96
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.96,
              "estimated_amount": 9.96
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 47.45
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 9.81,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 9.81,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.81,
              "estimated_amount": 9.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.93,
              "estimated_amount": 8.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 36.79,
              "estimated_amount": 36.79
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.81,
              "estimated_amount": 6.81
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 55.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 53.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 53.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 35.75
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.81,
              "estimated_amount": 9.81
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.81,
              "estimated_amount": 9.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 65,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 53.3
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.96,
              "estimated_amount": 9.96
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 55.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 36.79,
              "estimated_amount": 36.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 36.79,
              "estimated_amount": 36.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 36.79,
              "estimated_amount": 36.79
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.96,
              "estimated_amount": 9.96
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.96,
              "estimated_amount": 9.96
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 55.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.59,
              "estimated_amount": 8.59
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.81,
              "estimated_amount": 6.81
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 35.75
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 57.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.59,
              "estimated_amount": 8.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 36.79,
              "estimated_amount": 36.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 65,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 9.81,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 10.3,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 9.81,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 10.3,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 65,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 53.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 9.81,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 9.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.93,
              "estimated_amount": 8.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.59,
              "estimated_amount": 8.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 36.79,
              "estimated_amount": 36.79
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 42.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.93,
              "estimated_amount": 8.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 36.79,
              "estimated_amount": 36.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.03,
              "estimated_amount": 9.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.03,
              "estimated_amount": 9.03
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.81,
              "estimated_amount": 9.81
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.81,
              "estimated_amount": 9.81
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 9.81,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 10.3,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 65,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 65,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 53.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 35.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 9.81,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 9.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 9.81,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 9.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10.93,
              "estimated_amount": 10.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.59,
              "estimated_amount": 8.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 36.79,
              "estimated_amount": 36.79
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 55.25
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 55.25
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10.93,
              "estimated_amount": 10.93
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 55.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 36.79,
              "estimated_amount": 36.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 36.79,
              "estimated_amount": 36.79
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 25,
              "estimated_amount": 16.25
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 48.75
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.96,
              "estimated_amount": 9.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 35.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 36.79,
              "estimated_amount": 36.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 36.79,
              "estimated_amount": 36.79
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.96,
              "estimated_amount": 9.96
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.96,
              "estimated_amount": 9.96
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 47.45
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 9.81,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 9.81,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 55.25
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10.93,
              "estimated_amount": 10.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.93,
              "estimated_amount": 8.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.93,
              "estimated_amount": 8.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.59,
              "estimated_amount": 8.59
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 9.81,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 9.81,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 65
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.81,
              "estimated_amount": 6.81
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 55.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 53.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 53.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 9.81,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 9.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.96,
              "estimated_amount": 9.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 35.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 9.81,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 9.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.81,
              "estimated_amount": 9.81
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 55.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 36.79,
              "estimated_amount": 36.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.93,
              "estimated_amount": 8.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.93,
              "estimated_amount": 8.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 36.79,
              "estimated_amount": 36.79
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.96,
              "estimated_amount": 9.96
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 47.45
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 48.75
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 55.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 65,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 65,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 48.75
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 55.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.93,
              "estimated_amount": 8.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.93,
              "estimated_amount": 8.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 36.79,
              "estimated_amount": 36.79
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 55.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.93,
              "estimated_amount": 8.93
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 47.45
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 47.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.81,
              "estimated_amount": 6.81
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 35.75
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.81,
              "estimated_amount": 9.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 36.79,
              "estimated_amount": 36.79
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 47.45
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.81,
              "estimated_amount": 9.81
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 35.75
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 9.81,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 10.3,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            }
          ],
          "minimum": 6.81,
          "maximum": 36.79
        }
      ]
    },
    {
      "description": "Collagen Cross Links Any Method Sendout",
      "code_information": [
        {
          "code": "PX-30100195",
          "type": "CDM"
        },
        {
          "code": "82523",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 338,
          "discounted_cash": 219.7,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 152.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 185.9
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 18.68,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 18.68,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.03,
              "estimated_amount": 16.03
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 27.32,
              "estimated_amount": 27.32
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 253.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 70.05,
              "estimated_amount": 70.05
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 287.3
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 287.3
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 27.32,
              "estimated_amount": 27.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 152.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 277.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 277.16
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 18.68,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 19.61,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 277.16
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 169
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.68,
              "estimated_amount": 18.68
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 18.68,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 19.61,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 27.19,
              "estimated_amount": 27.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 70.05,
              "estimated_amount": 70.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 169
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 246.74
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 287.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 70.05,
              "estimated_amount": 70.05
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 246.74
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 18.68,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 18.68,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 287.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 277.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 185.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 18.68,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 18.87,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.68,
              "estimated_amount": 18.68
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.68,
              "estimated_amount": 18.68
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 338,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 338,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 338,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 152.1
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 287.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 26.14,
              "estimated_amount": 26.14
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 246.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 27.19,
              "estimated_amount": 27.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 70.05,
              "estimated_amount": 70.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 70.05,
              "estimated_amount": 70.05
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 246.74
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 338
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 18.68,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 18.87,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 27.32,
              "estimated_amount": 27.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 277.16
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 297.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 26.14,
              "estimated_amount": 26.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 27.19,
              "estimated_amount": 27.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 27.19,
              "estimated_amount": 27.19
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 223.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 27.19,
              "estimated_amount": 27.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 27.19,
              "estimated_amount": 27.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 27.19,
              "estimated_amount": 27.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 70.05,
              "estimated_amount": 70.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 70.05,
              "estimated_amount": 70.05
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.03,
              "estimated_amount": 16.03
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 25,
              "estimated_amount": 84.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 287.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 277.16
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 18.68,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 18.87,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.68,
              "estimated_amount": 18.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 152.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 152.1
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 169
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 70.05,
              "estimated_amount": 70.05
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 287.3
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 287.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 26.14,
              "estimated_amount": 26.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 26.14,
              "estimated_amount": 26.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 70.05,
              "estimated_amount": 70.05
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 246.74
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 18.68,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 18.68,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 287.3
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.68,
              "estimated_amount": 18.68
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 18.68,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 19.61,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 287.3
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 253.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 185.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 185.9
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.68,
              "estimated_amount": 18.68
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 287.3
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 246.74
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.03,
              "estimated_amount": 16.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 27.19,
              "estimated_amount": 27.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 26.14,
              "estimated_amount": 26.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 70.05,
              "estimated_amount": 70.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 277.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 185.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 152.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 152.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 277.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 185.9
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 18.68,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 19.61,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 70.05,
              "estimated_amount": 70.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 70.05,
              "estimated_amount": 70.05
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.03,
              "estimated_amount": 16.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 70.05,
              "estimated_amount": 70.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 70.05,
              "estimated_amount": 70.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 70.05,
              "estimated_amount": 70.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 169
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 169
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 169
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 169
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 219.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 185.9
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 169
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 152.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 152.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 18.68,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 18.87,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 18.68,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 18.87,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 26.14,
              "estimated_amount": 26.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 27.19,
              "estimated_amount": 27.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 169
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 287.3
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 253.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 70.05,
              "estimated_amount": 70.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 70.05,
              "estimated_amount": 70.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 169
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 287.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 152.1
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.68,
              "estimated_amount": 18.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 27.19,
              "estimated_amount": 27.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 27.19,
              "estimated_amount": 27.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 27.19,
              "estimated_amount": 27.19
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 287.3
            }
          ],
          "minimum": 16.03,
          "maximum": 70.05
        }
      ]
    },
    {
      "description": "Gauze Drain Sponge Non Woven Sterile 4 in X 4 In",
      "code_information": [
        {
          "code": "PX-CH-DY4611",
          "type": "CDM"
        },
        {
          "code": "A6402",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.12,
          "discounted_cash": 0.08,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.12,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.12,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.12,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.12,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 0.12,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.12,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.12,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.12,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.12,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.12,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.12,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.12,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.12,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 0.12,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.12,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.12,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.12,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.12,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.12,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.12,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.12,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.12,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.12,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.12,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.12,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.12,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.12,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.12,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.12,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.12,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.12,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.12,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.12,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.12,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.12,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.12,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.12,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.12,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.12,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.12,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.1
            }
          ]
        }
      ]
    },
    {
      "description": "HC Impella Purge Cassette",
      "code_information": [
        {
          "code": "PX-27800214",
          "type": "CDM"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 641,
          "discounted_cash": 416.65,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 419.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 419.86
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 525.62
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 531.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 489.72
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 417.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 410.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 391.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 409.6
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 467.93
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 174.99
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 544.85
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 544.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 419.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 419.86
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 525.62
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 531.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 525.62
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 352.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 410.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 410.88
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 544.85
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 480.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 410.88
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 641
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 352.55
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 480.75
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 544.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 417.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 417.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 489.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 391.01
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 355.76
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 544.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 419.86
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 525.62
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 525.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 562.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 562.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 352.55
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 564.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 391.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 391.01
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 467.93
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 416.65
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 544.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 410.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 410.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 391.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 417.29
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 467.93
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 355.76
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 544.85
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 423.06
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 544.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 352.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 410.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 489.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 409.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 410.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 409.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 417.29
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 355.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 525.62
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 352.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 419.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 419.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 391.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 410.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 489.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 391.01
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 480.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 352.55
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 544.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 352.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 489.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 391.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 409.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 391.01
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 467.93
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 544.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 410.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 410.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 518.57
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 467.93
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 355.76
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 531.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 410.88
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 467.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 518.57
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 544.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 525.62
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 544.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 489.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 391.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 391.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 391.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 391.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 419.86
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 525.62
            }
          ]
        }
      ]
    },
    {
      "description": "Hydroxyindolacetic Acid (5-Hiaa) Sendout",
      "code_information": [
        {
          "code": "PX-30100291",
          "type": "CDM"
        },
        {
          "code": "83497",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 102,
          "discounted_cash": 66.3,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 45.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 83.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.69,
              "estimated_amount": 6.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.69,
              "estimated_amount": 6.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 48.38,
              "estimated_amount": 48.38
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 67.32
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 86.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 48.38,
              "estimated_amount": 48.38
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 74.46
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.06,
              "estimated_amount": 11.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 45.9
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 45.9
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 12.9,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 86.7
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 86.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.69,
              "estimated_amount": 6.69
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 51
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 12.9,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 12.9,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.69,
              "estimated_amount": 6.69
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.85,
              "estimated_amount": 18.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 56.1
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 102,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 12.9,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.03,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.69,
              "estimated_amount": 6.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 48.38,
              "estimated_amount": 48.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 48.38,
              "estimated_amount": 48.38
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 51
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 25,
              "estimated_amount": 25.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 86.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.69,
              "estimated_amount": 6.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.69,
              "estimated_amount": 6.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 48.38,
              "estimated_amount": 48.38
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 74.46
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 86.7
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 76.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 45.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 83.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 83.64
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 51
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 12.9,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 12.9,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.03,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 12.9,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 12.9,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 86.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 48.38,
              "estimated_amount": 48.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 48.38,
              "estimated_amount": 48.38
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 45.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 45.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 83.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 83.64
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 12.9,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.03,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 12.9,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.03,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 12.9,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.9,
              "estimated_amount": 12.9
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 102,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 102,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 12.9,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 76.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 45.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 83.64
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 12.9,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.03,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 86.7
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 89.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 48.38,
              "estimated_amount": 48.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 48.38,
              "estimated_amount": 48.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 48.38,
              "estimated_amount": 48.38
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.06,
              "estimated_amount": 11.06
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 86.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 48.38,
              "estimated_amount": 48.38
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 86.7
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 66.3
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.9,
              "estimated_amount": 12.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 45.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.43,
              "estimated_amount": 6.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.43,
              "estimated_amount": 6.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.69,
              "estimated_amount": 6.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.69,
              "estimated_amount": 6.69
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 51
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 102
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.85,
              "estimated_amount": 18.85
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 76.5
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 86.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 83.64
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 56.1
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 51
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 56.1
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.9,
              "estimated_amount": 12.9
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 86.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.69,
              "estimated_amount": 6.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.43,
              "estimated_amount": 6.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.43,
              "estimated_amount": 6.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 48.38,
              "estimated_amount": 48.38
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 51
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 12.9,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 12.9,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.43,
              "estimated_amount": 6.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 48.38,
              "estimated_amount": 48.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 48.38,
              "estimated_amount": 48.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 48.38,
              "estimated_amount": 48.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 48.38,
              "estimated_amount": 48.38
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 45.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 56.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 45.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 56.1
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.9,
              "estimated_amount": 12.9
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.85,
              "estimated_amount": 18.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.69,
              "estimated_amount": 6.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.69,
              "estimated_amount": 6.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 48.38,
              "estimated_amount": 48.38
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 74.46
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 74.46
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 86.7
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 86.7
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 74.46
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.06,
              "estimated_amount": 11.06
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.06,
              "estimated_amount": 11.06
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 86.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 56.1
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.9,
              "estimated_amount": 12.9
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.9,
              "estimated_amount": 12.9
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.9,
              "estimated_amount": 12.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.43,
              "estimated_amount": 6.43
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 74.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 83.64
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 56.1
            }
          ],
          "minimum": 6.43,
          "maximum": 48.38
        }
      ]
    },
    {
      "description": "Huber Infusion Set Plus 19 G X 1 1/2 in Safety",
      "code_information": [
        {
          "code": "PX-CH-FEMM1915",
          "type": "CDM"
        },
        {
          "code": "A4212",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 22.74,
          "discounted_cash": 14.78,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 14.37
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 12.51
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 18.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 14.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 17.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 14.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 17.37
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 17.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 18.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 14.37
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 19.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 14.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 16.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 17.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 14.8
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 16.6
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 17.06
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 19.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 14.37
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 12.51
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 17.06
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 12.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 14.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 14.8
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 16.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 12.62
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 19.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 14.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 14.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 12.62
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 12.62
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 6.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 14.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 14.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 14.6
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 19.33
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 19.33
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 18.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 18.65
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 16.6
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 15.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 14.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 22.74
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 14.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 14.37
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 18.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 18.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 18.65
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 19.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 19.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 14.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 18.4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 19.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 14.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 17.37
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 16.6
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 16.6
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 19.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 14.37
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 18.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 19.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 18.65
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 12.51
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 18.85
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 20.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 18.4
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 19.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 14.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 12.51
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 12.51
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 19.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 14.37
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 14.37
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 12.51
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 19.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 17.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 14.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 14.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 17.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 14.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 12.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 19.33
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 18.85
            }
          ]
        }
      ]
    },
    {
      "description": "HC Nephelometry Each Analyte",
      "code_information": [
        {
          "code": "PX-30100339",
          "type": "CDM"
        },
        {
          "code": "83883",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 581,
          "discounted_cash": 377.65,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 261.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2.64,
              "estimated_amount": 2.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 51,
              "estimated_amount": 51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 51,
              "estimated_amount": 51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 51,
              "estimated_amount": 51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 51,
              "estimated_amount": 51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 290.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 493.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 51,
              "estimated_amount": 51
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 424.13
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 13.6,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 476.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 476.42
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 13.6,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 493.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 261.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 261.45
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 290.5
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 493.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 290.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.67,
              "estimated_amount": 11.67
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 13.6,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 493.85
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 377.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 51,
              "estimated_amount": 51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 51,
              "estimated_amount": 51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 51,
              "estimated_amount": 51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 290.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 424.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 261.45
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 13.6,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 290.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 261.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2.64,
              "estimated_amount": 2.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2.64,
              "estimated_amount": 2.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 51,
              "estimated_amount": 51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 290.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 424.13
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.67,
              "estimated_amount": 11.67
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.87,
              "estimated_amount": 19.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2.64,
              "estimated_amount": 2.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2.64,
              "estimated_amount": 2.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2.64,
              "estimated_amount": 2.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 51,
              "estimated_amount": 51
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.87,
              "estimated_amount": 19.87
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.6,
              "estimated_amount": 13.6
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 13.6,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 14.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 261.45
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 290.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.6,
              "estimated_amount": 13.6
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 13.6,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 14.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 13.6,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.87,
              "estimated_amount": 19.87
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 493.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2.53,
              "estimated_amount": 2.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2.53,
              "estimated_amount": 2.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2.53,
              "estimated_amount": 2.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2.64,
              "estimated_amount": 2.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2.64,
              "estimated_amount": 2.64
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 290.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 493.85
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 383.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2.53,
              "estimated_amount": 2.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 51,
              "estimated_amount": 51
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 25,
              "estimated_amount": 145.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 476.42
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 435.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 261.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 319.55
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 13.6,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 14.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 581,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2.64,
              "estimated_amount": 2.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2.64,
              "estimated_amount": 2.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 51,
              "estimated_amount": 51
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 424.13
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 493.85
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 493.85
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 493.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 51,
              "estimated_amount": 51
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 493.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 261.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 476.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 319.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 319.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 13.6,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.6,
              "estimated_amount": 13.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 476.42
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 13.6,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 14.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 51,
              "estimated_amount": 51
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.67,
              "estimated_amount": 11.67
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 13.6,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2.53,
              "estimated_amount": 2.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 51,
              "estimated_amount": 51
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 581
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 435.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 476.42
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.6,
              "estimated_amount": 13.6
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 511.28
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 493.85
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 424.13
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 493.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 476.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 261.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 261.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 319.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 319.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 319.55
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.6,
              "estimated_amount": 13.6
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 581,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2.64,
              "estimated_amount": 2.64
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 493.85
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 435.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2.53,
              "estimated_amount": 2.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2.64,
              "estimated_amount": 2.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 51,
              "estimated_amount": 51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 290.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 424.13
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.67,
              "estimated_amount": 11.67
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 493.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 476.42
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 13.6,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 581,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 51,
              "estimated_amount": 51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 290.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 319.55
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.6,
              "estimated_amount": 13.6
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.6,
              "estimated_amount": 13.6
            }
          ],
          "minimum": 2.53,
          "maximum": 51
        }
      ]
    },
    {
      "description": "HC Osmolality Urine",
      "code_information": [
        {
          "code": "PX-30100349",
          "type": "CDM"
        },
        {
          "code": "83935",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 103,
          "discounted_cash": 66.95,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 46.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 46.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 84.46
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.82,
              "estimated_amount": 6.82
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 51.5
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.82,
              "estimated_amount": 6.82
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 90.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.39,
              "estimated_amount": 13.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.93,
              "estimated_amount": 13.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.58,
              "estimated_amount": 25.58
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 75.19
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 75.19
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 87.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 46.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 56.65
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.82,
              "estimated_amount": 6.82
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 103
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 87.55
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.96,
              "estimated_amount": 9.96
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 87.55
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 67.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.93,
              "estimated_amount": 13.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.58,
              "estimated_amount": 25.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 46.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 46.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 84.46
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 56.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 6.82,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 6.89,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 6.82,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 6.89,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.82,
              "estimated_amount": 6.82
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.96,
              "estimated_amount": 9.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.39,
              "estimated_amount": 13.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.58,
              "estimated_amount": 25.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.58,
              "estimated_amount": 25.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.58,
              "estimated_amount": 25.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.58,
              "estimated_amount": 25.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 51.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 51.5
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 77.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.58,
              "estimated_amount": 25.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 51.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.85,
              "estimated_amount": 5.85
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 6.82,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 6.82,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 87.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 46.35
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 103,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 87.55
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 87.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 46.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 84.46
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 6.82,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 7.16,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.39,
              "estimated_amount": 13.39
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 51.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.58,
              "estimated_amount": 25.58
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 6.82,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 6.82,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 87.55
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 87.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 84.46
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 56.65
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 56.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 84.46
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 103,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.58,
              "estimated_amount": 25.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.58,
              "estimated_amount": 25.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.58,
              "estimated_amount": 25.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 51.5
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 6.82,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 6.82,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.85,
              "estimated_amount": 5.85
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 25,
              "estimated_amount": 25.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.39,
              "estimated_amount": 13.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.93,
              "estimated_amount": 13.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 51.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 75.19
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 75.19
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.85,
              "estimated_amount": 5.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 87.55
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 77.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.82,
              "estimated_amount": 6.82
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.82,
              "estimated_amount": 6.82
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 6.82,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 6.89,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.93,
              "estimated_amount": 13.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.58,
              "estimated_amount": 25.58
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 87.55
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 75.19
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 87.55
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 87.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.39,
              "estimated_amount": 13.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.93,
              "estimated_amount": 13.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.58,
              "estimated_amount": 25.58
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 66.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 84.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 84.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 84.46
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 51.5
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 103,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 77.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 56.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 6.82,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 6.89,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.82,
              "estimated_amount": 6.82
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 6.82,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 7.16,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.58,
              "estimated_amount": 25.58
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 75.19
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.85,
              "estimated_amount": 5.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 87.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.93,
              "estimated_amount": 13.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.93,
              "estimated_amount": 13.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.58,
              "estimated_amount": 25.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 46.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 46.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 56.65
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 6.82,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 7.16,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 6.82,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 7.16,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 6.82,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 6.89,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 87.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.39,
              "estimated_amount": 13.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.93,
              "estimated_amount": 13.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.93,
              "estimated_amount": 13.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.58,
              "estimated_amount": 25.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.58,
              "estimated_amount": 25.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.93,
              "estimated_amount": 13.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.93,
              "estimated_amount": 13.93
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.96,
              "estimated_amount": 9.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 46.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 56.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.93,
              "estimated_amount": 13.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 51.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 51.5
            }
          ],
          "minimum": 5.85,
          "maximum": 25.58
        }
      ]
    },
    {
      "description": "HC Ph Body Fluid Nes",
      "code_information": [
        {
          "code": "PX-30100354",
          "type": "CDM"
        },
        {
          "code": "83986",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 93,
          "discounted_cash": 60.45,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 81.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 76.26
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 77.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 59.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.43,
              "estimated_amount": 13.43
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 79.05
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 67.89
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.23,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 58.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 76.26
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3.58,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 76.26
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 77.1
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 79.05
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 79.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.43,
              "estimated_amount": 13.43
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 3.58,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 3.58,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 61.38
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 79.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 59.71
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 67.89
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 3.58,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 3.58,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 51.62
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 76.26
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 51.15
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3.58,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 93,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 58.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 76.26
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 3.58,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 3.76,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 71.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 59.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.43,
              "estimated_amount": 13.43
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 67.89
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 79.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.43,
              "estimated_amount": 13.43
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 69.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 58.78
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 77.1
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3.58,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3.58,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.23,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 79.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 58.78
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 51.15
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 3.58,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 3.76,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 71.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.43,
              "estimated_amount": 13.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 60.54
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 79.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 71.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.43,
              "estimated_amount": 13.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.43,
              "estimated_amount": 13.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 75.24
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 79.05
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 79.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 76.26
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 51.15
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3.58,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 93,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 3.58,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 3.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 59.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.43,
              "estimated_amount": 13.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.43,
              "estimated_amount": 13.43
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 79.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 59.71
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 3.58,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 3.76,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 51.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 59.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 59.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.43,
              "estimated_amount": 13.43
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 69.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 60.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 60.54
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 79.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.43,
              "estimated_amount": 13.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 60.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 60.54
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 67.89
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 51.62
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 51.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 3.58,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 3.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3.58,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 81.84
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 51.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 3.58,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 3.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 3.58,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 3.76,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.43,
              "estimated_amount": 13.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 75.24
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 60.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 59.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 59.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 59.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 71.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.43,
              "estimated_amount": 13.43
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 67.89
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 93
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 79.05
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 79.05
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 69.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 76.26
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 3.58,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 3.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 93,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 58.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 58.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 58.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 59.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 59.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 71.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.43,
              "estimated_amount": 13.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.43,
              "estimated_amount": 13.43
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 67.89
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 51.62
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 25.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 71.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.43,
              "estimated_amount": 13.43
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 3.58,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 3.58,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 58.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 81.56
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3.58,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 79.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.43,
              "estimated_amount": 13.43
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 51.62
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.23,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 76.26
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 51.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 3.58,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 3.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            }
          ],
          "minimum": 3.58,
          "maximum": 13.43
        }
      ]
    },
    {
      "description": "Calprotectin Fecal Sendout",
      "code_information": [
        {
          "code": "PX-30100356",
          "type": "CDM"
        },
        {
          "code": "83993",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 330,
          "discounted_cash": 214.5,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 148.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 270.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 270.6
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.63,
              "estimated_amount": 19.63
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 280.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 73.61,
              "estimated_amount": 73.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.02,
              "estimated_amount": 45.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 43.28,
              "estimated_amount": 43.28
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 240.9
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 19.63,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 19.63,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 280.5
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 214.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 270.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 19.63,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 19.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 19.63,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 20.61,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 19.63,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 20.61,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 280.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.02,
              "estimated_amount": 45.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 73.61,
              "estimated_amount": 73.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 73.61,
              "estimated_amount": 73.61
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 240.9
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 247.5
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 27.94,
              "estimated_amount": 27.94
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 27.94,
              "estimated_amount": 27.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.02,
              "estimated_amount": 45.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 43.28,
              "estimated_amount": 43.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 73.61,
              "estimated_amount": 73.61
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 240.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 181.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 270.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 270.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 181.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.63,
              "estimated_amount": 19.63
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 165
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.02,
              "estimated_amount": 45.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 73.61,
              "estimated_amount": 73.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 73.61,
              "estimated_amount": 73.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 165
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 165
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 43.28,
              "estimated_amount": 43.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 73.61,
              "estimated_amount": 73.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 73.61,
              "estimated_amount": 73.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 165
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 25,
              "estimated_amount": 82.5
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 217.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 148.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 181.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 19.63,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 19.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 165
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.63,
              "estimated_amount": 19.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.02,
              "estimated_amount": 45.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 73.61,
              "estimated_amount": 73.61
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.85,
              "estimated_amount": 16.85
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 280.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.02,
              "estimated_amount": 45.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.02,
              "estimated_amount": 45.02
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 19.63,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 19.63,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 148.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 270.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 181.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 181.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 165
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 148.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 165
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 280.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 280.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 280.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.02,
              "estimated_amount": 45.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 73.61,
              "estimated_amount": 73.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 73.61,
              "estimated_amount": 73.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 73.61,
              "estimated_amount": 73.61
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 19.63,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 19.63,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 148.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 19.63,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 19.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 181.5
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.63,
              "estimated_amount": 19.63
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 330
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 280.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 43.28,
              "estimated_amount": 43.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 73.61,
              "estimated_amount": 73.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 165
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 240.9
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 280.5
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 280.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 270.6
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 280.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 148.5
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 27.94,
              "estimated_amount": 27.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 43.28,
              "estimated_amount": 43.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.02,
              "estimated_amount": 45.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 73.61,
              "estimated_amount": 73.61
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 247.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 73.61,
              "estimated_amount": 73.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 165
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.85,
              "estimated_amount": 16.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 280.5
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 280.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 148.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 270.6
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.63,
              "estimated_amount": 19.63
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 19.63,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 19.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 290.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 181.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.63,
              "estimated_amount": 19.63
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 19.63,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 20.61,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 330,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 19.63,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 20.61,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 43.28,
              "estimated_amount": 43.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.02,
              "estimated_amount": 45.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.02,
              "estimated_amount": 45.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 73.61,
              "estimated_amount": 73.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 73.61,
              "estimated_amount": 73.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 165
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 240.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 148.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 148.5
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.63,
              "estimated_amount": 19.63
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 330,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 247.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.02,
              "estimated_amount": 45.02
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 240.9
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.85,
              "estimated_amount": 16.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.85,
              "estimated_amount": 16.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 148.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 19.63,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 19.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 280.5
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 330,
              "additional_payer_notes": "OUTPATIENT"
            }
          ],
          "minimum": 16.85,
          "maximum": 73.61
        }
      ]
    },
    {
      "description": "Foam Drsg Border Sacral Large Kerrafoam 9 in X 10 In",
      "code_information": [
        {
          "code": "PX-CH-87CWL1040",
          "type": "CDM"
        },
        {
          "code": "A6213",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 18.21,
          "discounted_cash": 11.84,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 11.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 11.51
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 18.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 18.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 13.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 11.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 11.85
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 18.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 10.02
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 18.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 11.51
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 10.02
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 18.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 11.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 15.48
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 15.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 11.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 11.69
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 13.29
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 18.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 11.51
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 10.02
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 10.02
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 18.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 18.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 15.97
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 14.93
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 15.1
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 15.1
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 13.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 11.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 14.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 13.29
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 18.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 18.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 10.11
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 15.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 15.97
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 14.93
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 10.02
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 18.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 18.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 14.93
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 10.02
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 18.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 13.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 13.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 11.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 13.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 4.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 11.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 13.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 18.21,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 14.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 13.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 11.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 15.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 11.69
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 18.21
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 15.48
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 18.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 18.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 14.93
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 10.02
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 18.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 13.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 11.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 15.48
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 16.02
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 11.85
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 13.29
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 18.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 13.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 11.51
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 15.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 11.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 14.93
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 13.29
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 13.66
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 12.02
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 14.73
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 10.11
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 13.66
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 15.48
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 15.1
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 18.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 15.48
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 18.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 18.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 11.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 11.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 11.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 10.11
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 18.21,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 11.69
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 10.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 11.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 14.93
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 18.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 11.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 15.48
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 15.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 11.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 14.93
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 15.48
            }
          ]
        }
      ]
    },
    {
      "description": "Vitamin B 2 Riboflavin Sendout",
      "code_information": [
        {
          "code": "PX-30100403",
          "type": "CDM"
        },
        {
          "code": "84252",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 118,
          "discounted_cash": 76.7,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 74.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 90.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 75.9,
              "estimated_amount": 75.9
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 100.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 75.9,
              "estimated_amount": 75.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 75.9,
              "estimated_amount": 75.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 76.82
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 86.14
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 65.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 74.58
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 97.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 103.49
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 20.24,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 20.44,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 29.56,
              "estimated_amount": 29.56
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 118,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 75.9,
              "estimated_amount": 75.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 95.46
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 100.3
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 32.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 90.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 75.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 75.9,
              "estimated_amount": 75.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 76.82
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 20.24,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 20.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 88.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 64.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 74.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 96.76
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 64.9
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 97.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 75.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 75.9,
              "estimated_amount": 75.9
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 65.49
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 65.49
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 100.3
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 100.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 90.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 75.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 75.9,
              "estimated_amount": 75.9
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 100.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 74.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 96.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 96.76
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 20.24,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 20.44,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.24,
              "estimated_amount": 20.24
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 103.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 96.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 75.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 75.9,
              "estimated_amount": 75.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 75.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 75.9,
              "estimated_amount": 75.9
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 100.3
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 100.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 96.76
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 64.9
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 100.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 75.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 90.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 75.9,
              "estimated_amount": 75.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 75.9,
              "estimated_amount": 75.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 75.9,
              "estimated_amount": 75.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 95.46
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 86.14
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 65.49
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 100.3
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 77.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 74.58
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.24,
              "estimated_amount": 20.24
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 20.24,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 21.25,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 20.24,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 20.44,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 74.58
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 64.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 64.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 75.76
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 118,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 75.9,
              "estimated_amount": 75.9
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 100.3
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 86.14
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 76.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 75.76
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 118
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 100.3
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 29.56,
              "estimated_amount": 29.56
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 20.24,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 20.44,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 20.24,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 21.25,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.24,
              "estimated_amount": 20.24
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 20.24,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 21.25,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 20.24,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 21.25,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 88.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 90.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 75.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 75.9,
              "estimated_amount": 75.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 75.9,
              "estimated_amount": 75.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 76.82
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 86.14
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 88.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 76.82
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 76.82
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 86.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 96.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 96.76
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 64.9
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.24,
              "estimated_amount": 20.24
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 100.3
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 100.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 74.58
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.24,
              "estimated_amount": 20.24
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 118,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 75.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 75.9,
              "estimated_amount": 75.9
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 86.14
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 20.24,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 20.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 29.56,
              "estimated_amount": 29.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 90.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 75.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 75.76
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 20.24,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 20.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 74.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 103.49
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 96.76
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 64.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 20.24,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 20.44,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.24,
              "estimated_amount": 20.24
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 97.82
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.24,
              "estimated_amount": 20.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 75.9,
              "estimated_amount": 75.9
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 100.3
            }
          ],
          "minimum": 20.24,
          "maximum": 75.9
        }
      ]
    },
    {
      "description": "Vitamin E Sendout",
      "code_information": [
        {
          "code": "PX-30100429",
          "type": "CDM"
        },
        {
          "code": "84446",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 43,
          "discounted_cash": 27.95,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 19.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 35.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 35.26
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 14.18,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 14.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.18,
              "estimated_amount": 14.18
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 43,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.72,
              "estimated_amount": 20.72
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 32.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.89,
              "estimated_amount": 11.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.36,
              "estimated_amount": 12.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 53.18,
              "estimated_amount": 53.18
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 36.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 53.18,
              "estimated_amount": 53.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 53.18,
              "estimated_amount": 53.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 53.18,
              "estimated_amount": 53.18
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 21.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 36.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 19.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 35.26
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 14.18,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 14.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 36.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 53.18,
              "estimated_amount": 53.18
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 21.5
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 25,
              "estimated_amount": 10.75
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 36.55
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 32.25
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 36.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 53.18,
              "estimated_amount": 53.18
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 31.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 35.26
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.18,
              "estimated_amount": 14.18
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.18,
              "estimated_amount": 14.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 35.26
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 14.18,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 14.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.36,
              "estimated_amount": 12.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.89,
              "estimated_amount": 11.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.36,
              "estimated_amount": 12.36
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 31.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.36,
              "estimated_amount": 12.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.36,
              "estimated_amount": 12.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.89,
              "estimated_amount": 11.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.89,
              "estimated_amount": 11.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 53.18,
              "estimated_amount": 53.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 19.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 23.65
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.18,
              "estimated_amount": 14.18
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 14.18,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 14.89,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 19.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 19.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 23.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 14.18,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 14.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 21.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.16,
              "estimated_amount": 12.16
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 28.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.36,
              "estimated_amount": 12.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.36,
              "estimated_amount": 12.36
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 14.18,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 14.18,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.72,
              "estimated_amount": 20.72
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 36.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 23.65
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.18,
              "estimated_amount": 14.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 19.35
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 43,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 36.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.36,
              "estimated_amount": 12.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.36,
              "estimated_amount": 12.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.89,
              "estimated_amount": 11.89
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 31.39
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.16,
              "estimated_amount": 12.16
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 36.55
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.72,
              "estimated_amount": 20.72
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 27.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.36,
              "estimated_amount": 12.36
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 21.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 35.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 35.26
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.18,
              "estimated_amount": 14.18
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 21.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 23.65
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 43,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 53.18,
              "estimated_amount": 53.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 53.18,
              "estimated_amount": 53.18
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 37.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 21.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 21.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.16,
              "estimated_amount": 12.16
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 14.18,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 14.18,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 53.18,
              "estimated_amount": 53.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 53.18,
              "estimated_amount": 53.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 53.18,
              "estimated_amount": 53.18
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 21.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 31.39
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 31.39
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 36.55
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 32.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 19.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 23.65
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 14.18,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 14.89,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 19.35
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 14.18,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 14.89,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 21.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.36,
              "estimated_amount": 12.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.89,
              "estimated_amount": 11.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 53.18,
              "estimated_amount": 53.18
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 14.18,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 14.18,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 36.55
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 36.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 35.26
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 23.65
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 21.5
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 36.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 23.65
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 14.18,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 14.89,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 36.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 53.18,
              "estimated_amount": 53.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.36,
              "estimated_amount": 12.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 53.18,
              "estimated_amount": 53.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 53.18,
              "estimated_amount": 53.18
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 31.39
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 36.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 19.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 19.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 14.18,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 14.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 53.18,
              "estimated_amount": 53.18
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.16,
              "estimated_amount": 12.16
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.18,
              "estimated_amount": 14.18
            }
          ],
          "minimum": 11.89,
          "maximum": 53.18
        }
      ]
    },
    {
      "description": "HC Vasopressin So",
      "code_information": [
        {
          "code": "PX-30100452",
          "type": "CDM"
        },
        {
          "code": "84588",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 338,
          "discounted_cash": 219.7,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 152.1
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 287.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 78.95,
              "estimated_amount": 78.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 75.9,
              "estimated_amount": 75.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 127.28,
              "estimated_amount": 127.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 127.28,
              "estimated_amount": 127.28
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 49.6,
              "estimated_amount": 49.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 75.9,
              "estimated_amount": 75.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 127.28,
              "estimated_amount": 127.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 169
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 152.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 185.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 33.94,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 34.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 33.94,
              "estimated_amount": 33.94
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 49.6,
              "estimated_amount": 49.6
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 33.94,
              "estimated_amount": 33.94
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 246.74
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 287.3
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 287.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 127.28,
              "estimated_amount": 127.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 127.28,
              "estimated_amount": 127.28
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 246.74
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 185.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 33.94,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 34.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 33.94,
              "estimated_amount": 33.94
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 33.94,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 35.64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 33.94,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 35.64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 152.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 185.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 33.94,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 34.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 33.94,
              "estimated_amount": 33.94
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 33.94,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 34.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 33.94,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 35.64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 127.28,
              "estimated_amount": 127.28
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 33.94,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 33.94,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 29.11,
              "estimated_amount": 29.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 75.9,
              "estimated_amount": 75.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 78.95,
              "estimated_amount": 78.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 127.28,
              "estimated_amount": 127.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 169
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 29.11,
              "estimated_amount": 29.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 152.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 277.16
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 33.94,
              "estimated_amount": 33.94
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 253.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 152.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 152.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 152.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 78.95,
              "estimated_amount": 78.95
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 338
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 49.6,
              "estimated_amount": 49.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 78.95,
              "estimated_amount": 78.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 78.95,
              "estimated_amount": 78.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 127.28,
              "estimated_amount": 127.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 127.28,
              "estimated_amount": 127.28
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 253.5
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 287.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 152.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 277.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 277.16
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 287.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 277.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 78.95,
              "estimated_amount": 78.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 75.9,
              "estimated_amount": 75.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 127.28,
              "estimated_amount": 127.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 127.28,
              "estimated_amount": 127.28
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 246.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 127.28,
              "estimated_amount": 127.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 277.16
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 169
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 75.9,
              "estimated_amount": 75.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 127.28,
              "estimated_amount": 127.28
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 33.94,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 35.64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 246.74
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 33.94,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 33.94,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 25,
              "estimated_amount": 84.5
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 253.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 75.9,
              "estimated_amount": 75.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 78.95,
              "estimated_amount": 78.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 78.95,
              "estimated_amount": 78.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 185.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 33.94,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 34.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 287.3
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 33.94,
              "estimated_amount": 33.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 169
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 246.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 78.95,
              "estimated_amount": 78.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 78.95,
              "estimated_amount": 78.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 127.28,
              "estimated_amount": 127.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 127.28,
              "estimated_amount": 127.28
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 287.3
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 287.3
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 219.7
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 287.3
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 287.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 277.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 277.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 277.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 185.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 185.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 185.9
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 33.94,
              "estimated_amount": 33.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 152.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 152.1
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 169
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 127.28,
              "estimated_amount": 127.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 169
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 169
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 33.94,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 33.94,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 29.11,
              "estimated_amount": 29.11
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 287.3
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 287.3
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 223.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 78.95,
              "estimated_amount": 78.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 78.95,
              "estimated_amount": 78.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 127.28,
              "estimated_amount": 127.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 169
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 169
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 246.74
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 169
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 29.11,
              "estimated_amount": 29.11
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 287.3
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 297.44
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 287.3
            }
          ],
          "minimum": 29.11,
          "maximum": 127.28
        }
      ]
    },
    {
      "description": "Vitamin a Sendout",
      "code_information": [
        {
          "code": "PX-30100453",
          "type": "CDM"
        },
        {
          "code": "84590",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 43,
          "discounted_cash": 27.95,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 19.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 19.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 11.61,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 11.73,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.17,
              "estimated_amount": 20.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.17,
              "estimated_amount": 20.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.39,
              "estimated_amount": 19.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 43.54,
              "estimated_amount": 43.54
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 36.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.17,
              "estimated_amount": 20.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 43.54,
              "estimated_amount": 43.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 43.54,
              "estimated_amount": 43.54
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.95,
              "estimated_amount": 9.95
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 36.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 19.35
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 21.5
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 11.61,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 12.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 35.26
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.61,
              "estimated_amount": 11.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 43.54,
              "estimated_amount": 43.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 43.54,
              "estimated_amount": 43.54
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 11.61,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 11.61,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.95,
              "estimated_amount": 9.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.39,
              "estimated_amount": 19.39
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 31.39
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 28.38
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 21.5
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.61,
              "estimated_amount": 11.61
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 35.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 35.26
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 23.65
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.61,
              "estimated_amount": 11.61
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 43,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 36.55
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 36.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 43.54,
              "estimated_amount": 43.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 21.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 21.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 19.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 35.26
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 23.65
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.61,
              "estimated_amount": 11.61
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 11.61,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 12.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 11.61,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 12.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 11.61,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 12.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 23.65
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.94,
              "estimated_amount": 16.94
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 11.61,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 11.73,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 32.25
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 36.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.17,
              "estimated_amount": 20.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 43.54,
              "estimated_amount": 43.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 43.54,
              "estimated_amount": 43.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 21.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 31.39
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.94,
              "estimated_amount": 16.94
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 21.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 19.35
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 36.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.17,
              "estimated_amount": 20.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.17,
              "estimated_amount": 20.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 43.54,
              "estimated_amount": 43.54
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 36.55
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 25,
              "estimated_amount": 10.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 43.54,
              "estimated_amount": 43.54
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 31.39
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.95,
              "estimated_amount": 9.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 19.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 19.35
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 32.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 19.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 23.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 11.61,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 11.73,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.61,
              "estimated_amount": 11.61
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.61,
              "estimated_amount": 11.61
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 43,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 31.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.17,
              "estimated_amount": 20.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.17,
              "estimated_amount": 20.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 43.54,
              "estimated_amount": 43.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 43.54,
              "estimated_amount": 43.54
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 31.39
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 11.61,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 11.61,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 36.55
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 36.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 19.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 11.61,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 11.73,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.39,
              "estimated_amount": 19.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.39,
              "estimated_amount": 19.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 43.54,
              "estimated_amount": 43.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 43.54,
              "estimated_amount": 43.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 43.54,
              "estimated_amount": 43.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 43.54,
              "estimated_amount": 43.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 21.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 21.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 21.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 43
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 36.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.17,
              "estimated_amount": 20.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.39,
              "estimated_amount": 19.39
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 11.61,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 11.61,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 36.55
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.61,
              "estimated_amount": 11.61
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 23.65
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 23.65
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 23.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 11.61,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 11.73,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 43,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 36.55
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 36.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.17,
              "estimated_amount": 20.17
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.94,
              "estimated_amount": 16.94
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 27.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.17,
              "estimated_amount": 20.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.39,
              "estimated_amount": 19.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 43.54,
              "estimated_amount": 43.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 21.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 31.39
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 32.25
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 36.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 35.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 35.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 35.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.17,
              "estimated_amount": 20.17
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.95,
              "estimated_amount": 9.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 19.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 35.26
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 37.84
            }
          ],
          "minimum": 9.95,
          "maximum": 43.54
        }
      ]
    },
    {
      "description": "HC Mcd Bh Tx per Hour-Min 31 Min",
      "code_information": [
        {
          "code": "PX-91500004",
          "type": "CDM"
        },
        {
          "code": "H2012",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 310,
          "discounted_cash": 201.5,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 195.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 271.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 199.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 199.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 310,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 226.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 172.05
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 263.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 199.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 236.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 199.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 310,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 226.3
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 232.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 195.92
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 254.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 170.5
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 263.5
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 310,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 170.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 170.5
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 263.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 199.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 310,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 310,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 201.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 236.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 201.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 201.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 195.92
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 254.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 256.99
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 272.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 254.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 254.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 236.84
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 263.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 263.5
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 232.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 199.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 310,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 263.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 195.92
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 254.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 170.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 256.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 310,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 310,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 310,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 310,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 172.05
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 172.05
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 204.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 195.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 170.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 195.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 236.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 199.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 199.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 310,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 310,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 310,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 310,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 310,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 195.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 310,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 226.3
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 226.3
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 226.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 199.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 236.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 250.79
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 263.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 263.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 254.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 254.2
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 310,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 271.87
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 170.5
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 310,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 263.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 236.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 199.02
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 226.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 310
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 263.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 310,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 232.5
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 263.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 195.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 310,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 310,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 201.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 201.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 250.79
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 201.5
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 263.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 199.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 310,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 172.05
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 263.5
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 84.63
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 310,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 263.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 254.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 170.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 256.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 199.02
            }
          ]
        }
      ]
    },
    {
      "description": "Neurontin Gabapentin Sendout",
      "code_information": [
        {
          "code": "PX-30100530",
          "type": "CDM"
        },
        {
          "code": "80171",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 63,
          "discounted_cash": 40.95,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 39.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 51.66
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.67,
              "estimated_amount": 21.67
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.74,
              "estimated_amount": 18.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 40.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 40.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 40.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 81.26,
              "estimated_amount": 81.26
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 45.99
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 34.97
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 53.55
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 40.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 40.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 81.26,
              "estimated_amount": 81.26
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 34.97
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 21.67,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 21.67,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.74,
              "estimated_amount": 18.74
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 21.67,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 22.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 21.67,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 22.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 48.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 48.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 40.45
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 21.67,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 21.67,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 47.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 51.66
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 34.65
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 34.65
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 52.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 39.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 39.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 48.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 81.26,
              "estimated_amount": 81.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 81.26,
              "estimated_amount": 81.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 81.26,
              "estimated_amount": 81.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 81.26,
              "estimated_amount": 81.26
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 53.55
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 53.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 48.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 81.26,
              "estimated_amount": 81.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 81.26,
              "estimated_amount": 81.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 81.26,
              "estimated_amount": 81.26
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 34.97
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 53.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 34.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 21.67,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 21.89,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 39.82
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 52.23
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 21.67,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 22.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 81.26,
              "estimated_amount": 81.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 40.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 81.26,
              "estimated_amount": 81.26
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 53.55
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 53.55
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.67,
              "estimated_amount": 21.67
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 53.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 51.66
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 34.65
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 52.23
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 21.67,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 21.89,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 63,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 48.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 48.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 40.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 40.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 50.97
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 17.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 40.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 81.26,
              "estimated_amount": 81.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 50.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 41.01
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 53.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 55.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 21.67,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 21.89,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 47.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 34.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 21.67,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 21.89,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 40.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 81.26,
              "estimated_amount": 81.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 41.01
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 34.97
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 53.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 81.26,
              "estimated_amount": 81.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 81.26,
              "estimated_amount": 81.26
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 45.99
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 45.99
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 21.67,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 21.67,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 47.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 55.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 51.66
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 51.66
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 53.55
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 53.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 51.66
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 34.65
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 34.65
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.67,
              "estimated_amount": 21.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 40.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 40.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 81.26,
              "estimated_amount": 81.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 41.01
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 45.99
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 41.58
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 45.99
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 53.55
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.67,
              "estimated_amount": 21.67
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 39.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 39.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 51.66
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 51.66
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.67,
              "estimated_amount": 21.67
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 21.67,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 22.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 63,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 53.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 81.26,
              "estimated_amount": 81.26
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 63
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 41.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 41.01
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 45.99
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 53.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 39.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 39.82
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.67,
              "estimated_amount": 21.67
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.67,
              "estimated_amount": 21.67
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.74,
              "estimated_amount": 18.74
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 21.67,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 21.89,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 63,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 55.44
            }
          ],
          "minimum": 18.74,
          "maximum": 81.26
        }
      ]
    },
    {
      "description": "Kit Urine Collection Vacutainer",
      "code_information": [
        {
          "code": "PX-CH-BUR364957",
          "type": "CDM"
        },
        {
          "code": "A4335",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2.21,
          "discounted_cash": 1.44,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.81
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1.94
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.88
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.81
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.83
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.88
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2.21,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.81
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.88
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.4
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.81
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.83
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.69
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1.79
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.88
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2.21,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.81
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.69
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1.79
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.81
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2.21
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.66
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.81
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.83
            }
          ]
        }
      ]
    },
    {
      "description": "Tiagabine Gabitril Sendout",
      "code_information": [
        {
          "code": "PX-30100543",
          "type": "CDM"
        },
        {
          "code": "80199",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 133,
          "discounted_cash": 86.45,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 133,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 109.06
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 27.11,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 27.38,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 66.5
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 27.11,
              "estimated_amount": 27.11
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 27.11,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 28.47,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 27.11,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 28.47,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 101.66,
              "estimated_amount": 101.66
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 97.09
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 97.09
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 97.09
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.83,
              "estimated_amount": 18.83
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 113.05
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 27.11,
              "estimated_amount": 27.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 133,
              "additional_payer_notes": "REFERENCE LAB"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 101.66,
              "estimated_amount": 101.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 66.5
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 27.11,
              "estimated_amount": 27.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 133,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 27.11,
              "estimated_amount": 27.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 133,
              "additional_payer_notes": "REFERENCE LAB"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 101.66,
              "estimated_amount": 101.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 101.66,
              "estimated_amount": 101.66
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 27.11,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 27.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 109.06
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 27.11,
              "estimated_amount": 27.11
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 27.11,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 28.47,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 27.11,
              "estimated_amount": 27.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 133,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 27.11,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 27.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 83.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 83.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 101.66,
              "estimated_amount": 101.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 101.66,
              "estimated_amount": 101.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 133,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 73.15
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 27.11,
              "estimated_amount": 27.11
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 27.11,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 27.38,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 133,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 27.11,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 27.38,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 83.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 83.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 101.66,
              "estimated_amount": 101.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 101.66,
              "estimated_amount": 101.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 101.66,
              "estimated_amount": 101.66
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.51,
              "estimated_amount": 25.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 83.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 66.5
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 27.11,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 27.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 113.05
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 99.75
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 113.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 133,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 109.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 66.5
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 99.75
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.51,
              "estimated_amount": 25.51
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 113.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 133,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 109.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 109.06
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 73.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 27.11,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 27.38,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 83.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 83.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 101.66,
              "estimated_amount": 101.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 66.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 83.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 101.66,
              "estimated_amount": 101.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 101.66,
              "estimated_amount": 101.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 66.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.83,
              "estimated_amount": 18.83
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 113.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 133,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 73.15
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 66.5
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 117.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 109.06
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 73.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 27.11,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 27.38,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 27.11,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 28.47,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 113.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 101.66,
              "estimated_amount": 101.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 101.66,
              "estimated_amount": 101.66
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 97.09
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.83,
              "estimated_amount": 18.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 101.66,
              "estimated_amount": 101.66
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 97.09
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 113.05
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 86.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 109.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 109.06
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 73.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 73.15
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 66.5
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.51,
              "estimated_amount": 25.51
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 99.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.75,
              "estimated_amount": 18.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 83.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 83.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 101.66,
              "estimated_amount": 101.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 66.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 133
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 113.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 133,
              "additional_payer_notes": "REFERENCE LAB"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 133,
              "additional_payer_notes": "REFERENCE LAB"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 83.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 83.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 133,
              "additional_payer_notes": "REFERENCE LAB"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 97.09
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.83,
              "estimated_amount": 18.83
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 73.15
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 27.11,
              "estimated_amount": 27.11
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 113.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 133,
              "additional_payer_notes": "REFERENCE LAB"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 101.66,
              "estimated_amount": 101.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 66.5
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 25,
              "estimated_amount": 33.25
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 27.11,
              "estimated_amount": 27.11
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 113.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.75,
              "estimated_amount": 18.75
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 113.05
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 113.05
            }
          ],
          "minimum": 18.75,
          "maximum": 101.66
        }
      ]
    },
    {
      "description": "Trach Tie Latex Free",
      "code_information": [
        {
          "code": "PX-CH-DL240",
          "type": "CDM"
        },
        {
          "code": "A7526",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 5.11,
          "discounted_cash": 3.32,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.34
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.33
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.23
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4.13
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 3.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.9
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1.4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.34
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.24
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 4.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.33
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.28
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.34
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 3.37
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.81
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.81
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.34
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.83
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.34
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.33
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.19
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.73
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 5.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.19
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.81
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.28
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.33
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.73
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.34
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.19
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.9
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.34
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.73
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.84
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.84
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.23
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.81
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.23
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.73
            }
          ]
        }
      ]
    },
    {
      "description": "HC Unlisted Chemistry Procedure So",
      "code_information": [
        {
          "code": "PX-30100910",
          "type": "CDM"
        },
        {
          "code": "84999",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 156,
          "discounted_cash": 101.4,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 70.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 156,
              "additional_payer_notes": "REFERENCE LAB"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 156,
              "additional_payer_notes": "REFERENCE LAB"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 60,
              "estimated_amount": 93.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 60,
              "estimated_amount": 93.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 97.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.91,
              "estimated_amount": 9.91
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 132.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 70.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 127.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 70.2
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 117
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 60,
              "estimated_amount": 93.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 156,
              "additional_payer_notes": "REFERENCE LAB"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 156,
              "additional_payer_notes": "REFERENCE LAB"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 25,
              "estimated_amount": 39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 60,
              "estimated_amount": 93.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 60,
              "estimated_amount": 93.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.91,
              "estimated_amount": 9.91
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 113.88
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 132.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 70.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 127.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 156,
              "additional_payer_notes": "REFERENCE LAB"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 60,
              "estimated_amount": 93.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 60,
              "estimated_amount": 93.6
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 117
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 97.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 156,
              "additional_payer_notes": "REFERENCE LAB"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.91,
              "estimated_amount": 9.91
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 132.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 85.8
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.91,
              "estimated_amount": 9.91
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 137.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 97.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 156,
              "additional_payer_notes": "REFERENCE LAB"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 97.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 60,
              "estimated_amount": 93.6
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 132.6
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 101.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 60,
              "estimated_amount": 93.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 60,
              "estimated_amount": 93.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 60,
              "estimated_amount": 93.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.91,
              "estimated_amount": 9.91
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 132.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 127.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 85.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 85.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 156,
              "additional_payer_notes": "REFERENCE LAB"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 97.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.91,
              "estimated_amount": 9.91
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 113.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 127.92
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 127.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 85.8
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 132.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 85.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 85.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 97.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 97.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 60,
              "estimated_amount": 93.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.91,
              "estimated_amount": 9.91
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 113.88
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 113.88
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 132.6
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.91,
              "estimated_amount": 9.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 70.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.91,
              "estimated_amount": 9.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 60,
              "estimated_amount": 93.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.91,
              "estimated_amount": 9.91
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 132.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 97.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 97.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 60,
              "estimated_amount": 93.6
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 113.88
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 113.88
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 117
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 70.2
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 132.6
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.49,
              "estimated_amount": 21.49
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 132.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 60,
              "estimated_amount": 93.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 156,
              "additional_payer_notes": "REFERENCE LAB"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 97.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 60,
              "estimated_amount": 93.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 60,
              "estimated_amount": 93.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 156,
              "additional_payer_notes": "REFERENCE LAB"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 70.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 70.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 70.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 127.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 85.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 97.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 97.5
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 132.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 70.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 127.92
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 127.92
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 132.6
            }
          ],
          "minimum": 9.91,
          "maximum": 21.49
        }
      ]
    },
    {
      "description": "HC Fluorescent Antibody Screen",
      "code_information": [
        {
          "code": "PX-30200026",
          "type": "CDM"
        },
        {
          "code": "86255",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 236,
          "discounted_cash": 153.4,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 149.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 193.52
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 129.8
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 12.05,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 12.65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 151.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 151.51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 190.92
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 200.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 151.51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 153.64
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 172.28
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.12,
              "estimated_amount": 20.12
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.12,
              "estimated_amount": 20.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 149.15
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.05,
              "estimated_amount": 12.05
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 200.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 149.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 180.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.19,
              "estimated_amount": 45.19
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 200.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.19,
              "estimated_amount": 45.19
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 195.64
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 12.05,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 12.65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 193.52
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 129.8
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.05,
              "estimated_amount": 12.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 180.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 180.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 180.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.19,
              "estimated_amount": 45.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 153.64
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 64.43
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 200.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.19,
              "estimated_amount": 45.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.19,
              "estimated_amount": 45.19
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 172.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 206.97
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 193.52
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 129.8
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 12.05,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 12.65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 12.05,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 12.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 200.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 206.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 149.15
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 195.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 151.51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 190.92
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 130.98
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 12.05,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 12.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 149.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 193.52
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 129.8
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 195.64
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 177
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 149.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 12.05,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 12.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 12.05,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 12.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.05,
              "estimated_amount": 12.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 151.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.19,
              "estimated_amount": 45.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.19,
              "estimated_amount": 45.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 153.64
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 172.28
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 236
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 130.98
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 200.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 151.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.19,
              "estimated_amount": 45.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.19,
              "estimated_amount": 45.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.19,
              "estimated_amount": 45.19
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 172.28
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 155.76
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 129.8
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.05,
              "estimated_amount": 12.05
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 200.6
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 236,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 149.15
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.05,
              "estimated_amount": 12.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 151.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.19,
              "estimated_amount": 45.19
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 236,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 236,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.19,
              "estimated_amount": 45.19
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 172.28
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 200.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.19,
              "estimated_amount": 45.19
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 12.05,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 12.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 12.05,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 12.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 149.15
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.05,
              "estimated_amount": 12.05
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 200.6
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 207.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 180.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 180.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 151.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 151.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.19,
              "estimated_amount": 45.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 153.64
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 172.28
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 12.05,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 12.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 200.6
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 200.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 151.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.19,
              "estimated_amount": 45.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.19,
              "estimated_amount": 45.19
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 200.6
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 200.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 193.52
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 193.52
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 129.8
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.05,
              "estimated_amount": 12.05
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 12.05,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 12.65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 193.52
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.12,
              "estimated_amount": 20.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 153.64
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 130.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 130.98
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 177
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 153.4
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 177
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 151.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.19,
              "estimated_amount": 45.19
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 12.05,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 12.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 151.51
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 200.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 193.52
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 129.8
            }
          ],
          "minimum": 12.05,
          "maximum": 45.19
        }
      ]
    },
    {
      "description": "HC Chloride Urine So",
      "code_information": [
        {
          "code": "PX-30101254",
          "type": "CDM"
        },
        {
          "code": "82436",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 34,
          "discounted_cash": 22.1,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 21.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 21.49
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 27.88
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 18.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 5.75,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 5.81,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 5.75,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 6.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 28.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 21.83
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 22.13
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 24.82
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 25.5
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 28.9
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 28.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 25.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 27.51
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 9.28
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 28.9
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.35,
              "estimated_amount": 7.35
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 28.9
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 25.5
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.75,
              "estimated_amount": 5.75
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.75,
              "estimated_amount": 5.75
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 5.75,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 6.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 34,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 27.88
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.75,
              "estimated_amount": 5.75
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 5.75,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 5.81,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 29.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.56,
              "estimated_amount": 21.56
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 24.82
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 24.82
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 5.75,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 5.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 28.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 21.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 25.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.56,
              "estimated_amount": 21.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 18.87
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 28.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 21.49
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 27.88
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 18.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 5.75,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 5.81,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 5.75,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 5.81,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 21.49
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 27.88
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 18.7
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 34,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 18.87
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 28.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 21.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.56,
              "estimated_amount": 21.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.56,
              "estimated_amount": 21.56
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 24.82
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 5.75,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 5.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 22.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 18.7
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 28.19
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.75,
              "estimated_amount": 5.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 21.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 29.82
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 25.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 21.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 21.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.56,
              "estimated_amount": 21.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 25.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.56,
              "estimated_amount": 21.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.56,
              "estimated_amount": 21.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 22.13
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 28.9
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 28.9
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.35,
              "estimated_amount": 7.35
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 5.75,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 6.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 28.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.56,
              "estimated_amount": 21.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.56,
              "estimated_amount": 21.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 27.51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 22.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 22.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 25.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.56,
              "estimated_amount": 21.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.56,
              "estimated_amount": 21.56
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 24.82
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 5.75,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 5.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 18.87
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.75,
              "estimated_amount": 5.75
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 28.19
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 5.75,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 5.81,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.75,
              "estimated_amount": 5.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.56,
              "estimated_amount": 21.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.56,
              "estimated_amount": 21.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 22.13
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 34
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 28.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 25.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 18.87
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 18.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 18.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 27.88
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.35,
              "estimated_amount": 7.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 21.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 21.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 21.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.56,
              "estimated_amount": 21.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 21.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 21.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.56,
              "estimated_amount": 21.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.56,
              "estimated_amount": 21.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 21.49
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.75,
              "estimated_amount": 5.75
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 28.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 27.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 27.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 21.83
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 22.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 21.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 25.98
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 24.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 29.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 18.7
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 5.75,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 6.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 34,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.56,
              "estimated_amount": 21.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 21.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 21.49
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 27.88
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 28.9
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 28.9
            }
          ],
          "minimum": 5.75,
          "maximum": 21.56
        }
      ]
    },
    {
      "description": "Lyme Disease Confirmation Sendout",
      "code_information": [
        {
          "code": "PX-30200075",
          "type": "CDM"
        },
        {
          "code": "86617",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 73,
          "discounted_cash": 47.45,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 32.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 59.86
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 40.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 58.09,
              "estimated_amount": 58.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 36.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 36.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.95,
              "estimated_amount": 18.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 58.09,
              "estimated_amount": 58.09
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 53.29
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.29,
              "estimated_amount": 13.29
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 62.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 59.86
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 40.15
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.49,
              "estimated_amount": 15.49
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 73,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 32.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 15.49,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 15.64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.95,
              "estimated_amount": 18.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 58.09,
              "estimated_amount": 58.09
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 62.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.22,
              "estimated_amount": 18.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.95,
              "estimated_amount": 18.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 36.5
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 54.75
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.63,
              "estimated_amount": 22.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 32.85
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 36.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 36.5
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 64.24
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 62.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 32.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 40.15
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 15.49,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16.26,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 58.09,
              "estimated_amount": 58.09
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.29,
              "estimated_amount": 13.29
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 15.49,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 15.49,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 25,
              "estimated_amount": 18.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.95,
              "estimated_amount": 18.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.22,
              "estimated_amount": 18.22
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 36.5
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 54.75
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 54.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 58.09,
              "estimated_amount": 58.09
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 53.29
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 62.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 58.09,
              "estimated_amount": 58.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 58.09,
              "estimated_amount": 58.09
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.29,
              "estimated_amount": 13.29
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 62.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 59.86
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 15.49,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16.26,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 58.09,
              "estimated_amount": 58.09
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 53.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 58.09,
              "estimated_amount": 58.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 58.09,
              "estimated_amount": 58.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 58.09,
              "estimated_amount": 58.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 36.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 62.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 32.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 32.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 32.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 59.86
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 62.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 15.49,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 15.64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.49,
              "estimated_amount": 15.49
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.49,
              "estimated_amount": 15.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 58.09,
              "estimated_amount": 58.09
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 73,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 62.05
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 73,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 62.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 36.5
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 15.49,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 15.49,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.95,
              "estimated_amount": 18.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 58.09,
              "estimated_amount": 58.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 36.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 62.05
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.49,
              "estimated_amount": 15.49
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 15.49,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16.26,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 32.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 32.85
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.49,
              "estimated_amount": 15.49
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.49,
              "estimated_amount": 15.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.22,
              "estimated_amount": 18.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.22,
              "estimated_amount": 18.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.95,
              "estimated_amount": 18.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.95,
              "estimated_amount": 18.95
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 53.29
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 73
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 62.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.22,
              "estimated_amount": 18.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.22,
              "estimated_amount": 18.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.95,
              "estimated_amount": 18.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.95,
              "estimated_amount": 18.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.95,
              "estimated_amount": 18.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 58.09,
              "estimated_amount": 58.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 58.09,
              "estimated_amount": 58.09
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 53.29
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.29,
              "estimated_amount": 13.29
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 59.86
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 40.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 15.49,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 15.64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 15.49,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16.26,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 32.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 40.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 40.15
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 36.5
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 15.49,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 15.64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.95,
              "estimated_amount": 18.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.95,
              "estimated_amount": 18.95
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 15.49,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 15.49,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 62.05
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 48.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 58.09,
              "estimated_amount": 58.09
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 53.29
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 47.45
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.63,
              "estimated_amount": 22.63
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 62.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 59.86
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 59.86
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 59.86
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 40.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 15.49,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 15.64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.63,
              "estimated_amount": 22.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 58.09,
              "estimated_amount": 58.09
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 62.05
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.49,
              "estimated_amount": 15.49
            }
          ],
          "minimum": 13.29,
          "maximum": 58.09
        }
      ]
    },
    {
      "description": "HC Encephalitis Eastern Equine Antib So",
      "code_information": [
        {
          "code": "PX-30200089",
          "type": "CDM"
        },
        {
          "code": "86652",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 146,
          "discounted_cash": 94.9,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 92.27
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 80.3
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.77,
              "estimated_amount": 18.77
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 146,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 93.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 111.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 49.46,
              "estimated_amount": 49.46
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 81.03
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 81.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 93.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 49.46,
              "estimated_amount": 49.46
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 106.58
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 81.03
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.19,
              "estimated_amount": 13.19
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.19,
              "estimated_amount": 13.19
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 80.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 13.19,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 121.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 93.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 49.46,
              "estimated_amount": 49.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 49.46,
              "estimated_amount": 49.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 49.46,
              "estimated_amount": 49.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 49.46,
              "estimated_amount": 49.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 95.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 95.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 118.11
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 124.1
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 124.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 93.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 49.46,
              "estimated_amount": 49.46
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 146
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 96.36
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 13.19,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 13.19,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.85,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 128.48
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 13.19,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.85,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 93.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 106.58
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 94.9
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 109.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 93.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 111.54
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 13.19,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 124.1
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 124.1
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.77,
              "estimated_amount": 18.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 128.04
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 124.1
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 124.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 92.27
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 80.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 80.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 93.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 106.58
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 124.1
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 124.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 92.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 92.27
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 121.03
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.19,
              "estimated_amount": 13.19
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 109.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 92.27
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.19,
              "estimated_amount": 13.19
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 146,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 95.05
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 124.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 93.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 93.73
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 109.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 92.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 128.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 119.72
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 13.19,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 121.03
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 124.1
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 124.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 92.27
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 119.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 119.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 119.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 111.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 49.46,
              "estimated_amount": 49.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 49.46,
              "estimated_amount": 49.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 49.46,
              "estimated_amount": 49.46
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 124.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 111.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 111.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 49.46,
              "estimated_amount": 49.46
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 106.58
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 13.19,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 80.3
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.19,
              "estimated_amount": 13.19
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.19,
              "estimated_amount": 13.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 49.46,
              "estimated_amount": 49.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 95.05
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 106.58
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 124.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 93.73
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 13.19,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.77,
              "estimated_amount": 18.77
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 124.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 119.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 119.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 119.72
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 13.19,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 146,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 92.27
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 119.72
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 80.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 80.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 13.19,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 13.19,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.85,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 49.46,
              "estimated_amount": 49.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 49.46,
              "estimated_amount": 49.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 118.11
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 106.58
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 39.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 93.73
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 81.03
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 13.19,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.85,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 93.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 111.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 49.46,
              "estimated_amount": 49.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 49.46,
              "estimated_amount": 49.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 49.46,
              "estimated_amount": 49.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 95.05
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.19,
              "estimated_amount": 13.19
            }
          ],
          "minimum": 13.19,
          "maximum": 49.46
        }
      ]
    },
    {
      "description": "Fungus Antibody Nes Sendout",
      "code_information": [
        {
          "code": "PX-30200097",
          "type": "CDM"
        },
        {
          "code": "86671",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 67,
          "discounted_cash": 43.55,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 30.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 30.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 30.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 30.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 30.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 36.85
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 12.25,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 12.86,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.16,
              "estimated_amount": 13.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.94,
              "estimated_amount": 45.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.94,
              "estimated_amount": 45.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.94,
              "estimated_amount": 45.94
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 56.95
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 56.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.65,
              "estimated_amount": 12.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.94,
              "estimated_amount": 45.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.94,
              "estimated_amount": 45.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.94,
              "estimated_amount": 45.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 33.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 48.91
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 54.94
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 36.85
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.25,
              "estimated_amount": 12.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 30.15
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 33.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.65,
              "estimated_amount": 12.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.94,
              "estimated_amount": 45.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 33.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.16,
              "estimated_amount": 13.16
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 67
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 25,
              "estimated_amount": 16.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 36.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 12.25,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 12.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 12.25,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 12.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.94,
              "estimated_amount": 45.94
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 12.25,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 12.25,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 12.25,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 12.25,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.16,
              "estimated_amount": 13.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.94,
              "estimated_amount": 45.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.94,
              "estimated_amount": 45.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 33.5
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 43.55
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 50.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 54.94
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 12.25,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 12.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.25,
              "estimated_amount": 12.25
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.25,
              "estimated_amount": 12.25
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.92,
              "estimated_amount": 17.92
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 56.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 30.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 54.94
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 36.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 12.25,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 12.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 33.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.94,
              "estimated_amount": 45.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 33.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 48.91
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 56.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.16,
              "estimated_amount": 13.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.65,
              "estimated_amount": 12.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.16,
              "estimated_amount": 13.16
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.25,
              "estimated_amount": 12.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 54.94
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 56.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.65,
              "estimated_amount": 12.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.16,
              "estimated_amount": 13.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.94,
              "estimated_amount": 45.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.94,
              "estimated_amount": 45.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.94,
              "estimated_amount": 45.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 33.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10.51,
              "estimated_amount": 10.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.16,
              "estimated_amount": 13.16
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 48.91
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 12.25,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 12.25,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 56.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 56.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 36.85
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.25,
              "estimated_amount": 12.25
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 50.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 54.94
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.25,
              "estimated_amount": 12.25
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 56.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.16,
              "estimated_amount": 13.16
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 56.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 30.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 54.94
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 36.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 36.85
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 12.25,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 12.86,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 12.25,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 12.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 33.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.16,
              "estimated_amount": 13.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 33.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 33.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10.51,
              "estimated_amount": 10.51
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 56.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.16,
              "estimated_amount": 13.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.65,
              "estimated_amount": 12.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.94,
              "estimated_amount": 45.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.94,
              "estimated_amount": 45.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.94,
              "estimated_amount": 45.94
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.92,
              "estimated_amount": 17.92
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.92,
              "estimated_amount": 17.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 30.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 54.94
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 12.25,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 12.86,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.25,
              "estimated_amount": 12.25
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 56.95
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 56.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.16,
              "estimated_amount": 13.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.16,
              "estimated_amount": 13.16
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10.51,
              "estimated_amount": 10.51
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 56.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.65,
              "estimated_amount": 12.65
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 48.91
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 48.91
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10.51,
              "estimated_amount": 10.51
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 50.25
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 56.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 30.15
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 58.96
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 48.91
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 44.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 54.94
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 12.25,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 12.86,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            }
          ],
          "minimum": 10.51,
          "maximum": 45.94
        }
      ]
    },
    {
      "description": "Giardia Antibody Sendout",
      "code_information": [
        {
          "code": "PX-30200098",
          "type": "CDM"
        },
        {
          "code": "86674",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 167,
          "discounted_cash": 108.55,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 146.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 105.54
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 138.44
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 141.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 107.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 55.2,
              "estimated_amount": 55.2
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 121.91
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 121.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 127.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 55.2,
              "estimated_amount": 55.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 55.2,
              "estimated_amount": 55.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 92.69
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 110.22
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 91.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 91.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 107.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 107.21
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 92.69
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 108.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 108.72
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 167
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 141.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 91.85
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 146.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 105.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 136.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 55.2,
              "estimated_amount": 55.2
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 141.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 107.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 127.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 55.2,
              "estimated_amount": 55.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 55.2,
              "estimated_amount": 55.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 55.2,
              "estimated_amount": 55.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 55.2,
              "estimated_amount": 55.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 108.72
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 92.69
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 141.95
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 45.59
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 138.44
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 141.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 107.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 107.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 127.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 127.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 55.2,
              "estimated_amount": 55.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 135.1
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 121.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 105.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 136.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 136.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 105.54
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 91.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 91.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 55.2,
              "estimated_amount": 55.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 92.69
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 125.25
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 141.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 146.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 136.94
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 141.95
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 125.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 107.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 55.2,
              "estimated_amount": 55.2
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 121.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 107.21
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 141.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 136.94
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 138.44
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 141.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 91.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 127.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 107.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 55.2,
              "estimated_amount": 55.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 55.2,
              "estimated_amount": 55.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 55.2,
              "estimated_amount": 55.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 135.1
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 141.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 107.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 55.2,
              "estimated_amount": 55.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 108.72
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 141.95
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 141.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 105.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 136.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 105.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 136.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 107.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 55.2,
              "estimated_amount": 55.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 108.72
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 121.91
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 121.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 107.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 55.2,
              "estimated_amount": 55.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 105.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 136.94
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 91.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 127.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 108.72
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 125.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 105.54
            }
          ],
          "minimum": 55.2,
          "maximum": 55.2
        }
      ]
    },
    {
      "description": "HC Hepatitis B Core Total Antibody",
      "code_information": [
        {
          "code": "PX-30200112",
          "type": "CDM"
        },
        {
          "code": "86704",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 88,
          "discounted_cash": 57.2,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 39.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 72.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 48.4
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 74.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.19,
              "estimated_amount": 45.19
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 58.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.19,
              "estimated_amount": 45.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.19,
              "estimated_amount": 45.19
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 74.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 48.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 48.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 48.4
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 88,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 12.05,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 12.65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 74.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 72.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 48.4
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 23.68,
              "estimated_amount": 23.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 23.68,
              "estimated_amount": 23.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 44
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 64.24
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 64.24
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 64.24
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 12.05,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 12.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 74.8
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 66
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10.34,
              "estimated_amount": 10.34
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.05,
              "estimated_amount": 12.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 72.16
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.05,
              "estimated_amount": 12.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.63,
              "estimated_amount": 24.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 23.68,
              "estimated_amount": 23.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 44
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 64.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.63,
              "estimated_amount": 24.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.63,
              "estimated_amount": 24.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.19,
              "estimated_amount": 45.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.19,
              "estimated_amount": 45.19
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.61,
              "estimated_amount": 17.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 39.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 72.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 72.16
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.61,
              "estimated_amount": 17.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 39.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 12.05,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 12.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.63,
              "estimated_amount": 24.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.19,
              "estimated_amount": 45.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.19,
              "estimated_amount": 45.19
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 12.05,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 12.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.63,
              "estimated_amount": 24.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.63,
              "estimated_amount": 24.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.19,
              "estimated_amount": 45.19
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 74.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 39.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 12.05,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 12.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 44
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.05,
              "estimated_amount": 12.05
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.05,
              "estimated_amount": 12.05
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 12.05,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 12.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 39.6
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.05,
              "estimated_amount": 12.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.63,
              "estimated_amount": 24.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 23.68,
              "estimated_amount": 23.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.19,
              "estimated_amount": 45.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.63,
              "estimated_amount": 24.63
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 44
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 88
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10.34,
              "estimated_amount": 10.34
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 74.8
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 57.2
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 74.8
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 74.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 48.4
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 88,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 72.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 72.16
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.63,
              "estimated_amount": 24.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.63,
              "estimated_amount": 24.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 23.68,
              "estimated_amount": 23.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 44
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 66
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.61,
              "estimated_amount": 17.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.63,
              "estimated_amount": 24.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.19,
              "estimated_amount": 45.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.19,
              "estimated_amount": 45.19
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 64.24
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10.34,
              "estimated_amount": 10.34
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 74.8
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 12.05,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 12.65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 12.05,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 12.65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 77.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 39.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 39.6
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.05,
              "estimated_amount": 12.05
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.05,
              "estimated_amount": 12.05
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 88,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 74.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.19,
              "estimated_amount": 45.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 44
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 74.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.63,
              "estimated_amount": 24.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.19,
              "estimated_amount": 45.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.19,
              "estimated_amount": 45.19
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10.34,
              "estimated_amount": 10.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 39.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 39.6
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 66
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 72.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 48.4
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 74.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.19,
              "estimated_amount": 45.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.19,
              "estimated_amount": 45.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.19,
              "estimated_amount": 45.19
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 64.24
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 12.05,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 12.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 74.8
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 25,
              "estimated_amount": 22
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 74.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 39.6
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 12.05,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 12.65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 23.68,
              "estimated_amount": 23.68
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 12.05,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 12.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 12.05,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 12.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            }
          ],
          "minimum": 10.34,
          "maximum": 45.19
        }
      ]
    },
    {
      "description": "Clamp Drainable Pouch",
      "code_information": [
        {
          "code": "PX-CH-HO8770",
          "type": "CDM"
        },
        {
          "code": "A4363",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1.55,
          "discounted_cash": 1.01,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.27
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.18
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1.25
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.13
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.86
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.27
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.27
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1.25
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.13
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.27
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.01
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.01
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.32
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.01
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.32
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.27
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.27
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.18
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.01
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.27
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.27
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.13
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1.55
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.86
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 1.01
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.32
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1.02
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1.36
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 4.62,
          "discounted_cash": 3,
          "payers_information": [
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.79
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.97
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.53
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.37
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.93
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.93
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.79
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.54
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.93
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.79
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.97
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.37
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.37
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.93
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.37
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 3.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.79
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.92
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 4.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.92
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3.83
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.93
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.79
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3.74
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.97
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.47
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.92
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.79
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4.05
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.93
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.97
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 4.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.56
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.93
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.54
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.93
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.97
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.37
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.37
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.56
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.97
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.56
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.93
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.79
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.54
            }
          ]
        }
      ]
    },
    {
      "description": "HC Crossmatch Platelet",
      "code_information": [
        {
          "code": "PX-30200146",
          "type": "CDM"
        },
        {
          "code": "86806",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1837,
          "discounted_cash": 1194.05,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1160.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1160.98
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1010.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1179.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1403.47
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1195.89
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 501.5
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1561.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1179.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1179.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 178.46,
              "estimated_amount": 178.46
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1010.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1506.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1506.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 178.46,
              "estimated_amount": 178.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1486.13
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1837
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1561.45
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1212.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1179.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 178.46,
              "estimated_amount": 178.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1195.89
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1377.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1160.98
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1506.34
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1616.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 178.46,
              "estimated_amount": 178.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 178.46,
              "estimated_amount": 178.46
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1019.54
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1010.35
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1561.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1179.35
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1341.01
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1561.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 178.46,
              "estimated_amount": 178.46
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1341.01
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1010.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1010.35
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1522.87
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1561.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1160.98
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1506.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1179.35
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1341.01
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1019.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1179.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 178.46,
              "estimated_amount": 178.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 178.46,
              "estimated_amount": 178.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1195.89
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1561.45
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1561.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1160.98
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1522.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1611.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1179.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1403.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 178.46,
              "estimated_amount": 178.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1195.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1179.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 178.46,
              "estimated_amount": 178.46
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1561.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1160.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1160.98
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1010.35
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1561.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1179.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 178.46,
              "estimated_amount": 178.46
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1561.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1403.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 178.46,
              "estimated_amount": 178.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 178.46,
              "estimated_amount": 178.46
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1341.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1611.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1160.98
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1010.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1506.34
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1561.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1179.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1403.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1403.47
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1486.13
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1341.01
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1561.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1403.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1179.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 178.46,
              "estimated_amount": 178.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 178.46,
              "estimated_amount": 178.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1195.89
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1341.01
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 1194.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1506.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1506.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1506.34
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1522.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 178.46,
              "estimated_amount": 178.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 178.46,
              "estimated_amount": 178.46
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1019.54
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1019.54
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1377.75
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1377.75
            }
          ],
          "minimum": 178.46,
          "maximum": 178.46
        }
      ]
    },
    {
      "description": "HC Cortisol Total So",
      "code_information": [
        {
          "code": "PX-30101262",
          "type": "CDM"
        },
        {
          "code": "82533",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 135,
          "discounted_cash": 87.75,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 85.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 110.7
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 16.3,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 114.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 86.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 86.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 61.13,
              "estimated_amount": 61.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 61.13,
              "estimated_amount": 61.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 86.67
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 98.55
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 114.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 74.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 16.3,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.3,
              "estimated_amount": 16.3
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 16.3,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 17.12,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 118.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 74.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 74.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 86.67
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 87.89
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 74.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 86.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 61.13,
              "estimated_amount": 61.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 109.22
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 36.86
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 114.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 85.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 85.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 74.25
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 111.92
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.3,
              "estimated_amount": 16.3
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 23.82,
              "estimated_amount": 23.82
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 101.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 74.25
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 16.3,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 17.12,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 103.14
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 101.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 86.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 86.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 103.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 87.89
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 98.55
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 16.3,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16.3,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 114.75
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 23.82,
              "estimated_amount": 23.82
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 23.82,
              "estimated_amount": 23.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 85.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 118.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 85.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 118.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 85.32
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.3,
              "estimated_amount": 16.3
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 111.92
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 114.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 87.89
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 74.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 86.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 86.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 61.13,
              "estimated_amount": 61.13
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 98.55
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 16.3,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16.3,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 114.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 85.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 74.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.3,
              "estimated_amount": 16.3
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 16.3,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 17.12,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 61.13,
              "estimated_amount": 61.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 61.13,
              "estimated_amount": 61.13
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 114.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 101.25
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 114.75
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 114.75
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 16.3,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16.3,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 135
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 110.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 110.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 16.3,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.3,
              "estimated_amount": 16.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 110.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 74.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 16.3,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.3,
              "estimated_amount": 16.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 86.67
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 135,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 61.13,
              "estimated_amount": 61.13
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 114.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 103.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 87.89
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 98.55
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 114.75
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.3,
              "estimated_amount": 16.3
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 135,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 135,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 114.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 85.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 110.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 110.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 61.13,
              "estimated_amount": 61.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 61.13,
              "estimated_amount": 61.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 61.13,
              "estimated_amount": 61.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 87.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 103.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 61.13,
              "estimated_amount": 61.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 61.13,
              "estimated_amount": 61.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 109.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 110.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 16.3,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 86.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 103.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 61.13,
              "estimated_amount": 61.13
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 74.93
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 114.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 86.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 103.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 61.13,
              "estimated_amount": 61.13
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 89.1
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 111.92
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 114.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 61.13,
              "estimated_amount": 61.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 61.13,
              "estimated_amount": 61.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 61.13,
              "estimated_amount": 61.13
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 98.55
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 98.55
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 74.93
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 87.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 110.7
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 16.3,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 17.12,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            }
          ],
          "minimum": 16.3,
          "maximum": 61.13
        }
      ]
    },
    {
      "description": "Lotion Special Care 4 Oz Fragrance Free",
      "code_information": [
        {
          "code": "PX-CH-BA2004C",
          "type": "CDM"
        },
        {
          "code": "A6250",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 5.32,
          "discounted_cash": 3.46,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.36
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.32,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4.3
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.36
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.36
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.93
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.06
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.46
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.99
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.36
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.32,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 4.68
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4.3
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.52
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.88
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5.32,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.32,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.36
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.36
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.36
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.93
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.32,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.36
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.93
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.93
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.88
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 5.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.36
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.36
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.32,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.88
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.32,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.32,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.52
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5.32,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.88
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.36
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.36
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.93
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.32,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.32,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.32,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.52
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.99
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 3.51
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4.67
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.36
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.42
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.36
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.52
            }
          ]
        }
      ]
    },
    {
      "description": "Afo Prefab Off the Shelf",
      "code_information": [
        {
          "code": "PX-27400279",
          "type": "CDM"
        },
        {
          "code": "L4397",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 64,
          "discounted_cash": 41.6,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 64,
              "additional_payer_notes": "INFUSION"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 64,
              "additional_payer_notes": "INFUSION"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 35.52
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 197.45,
              "estimated_amount": 197.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 41.09
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 46.72
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 197.45,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 207.32,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 64,
              "additional_payer_notes": "INFUSION"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 197.45,
              "estimated_amount": 197.45
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 197.45,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 207.32,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 41.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 35.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 41.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 41.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 51.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 64,
              "additional_payer_notes": "INFUSION"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 64,
              "additional_payer_notes": "INFUSION"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 64,
              "additional_payer_notes": "INFUSION"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 197.45,
              "estimated_amount": 197.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 46.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 41.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 41.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 197.45,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 199.42,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 53.06
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 197.45,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 199.42,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 197.45,
              "estimated_amount": 197.45
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 197.45,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 207.32,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 197.45,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 197.45,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 35.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 41.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 41.66
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 35.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 64,
              "additional_payer_notes": "INFUSION"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 197.45,
              "estimated_amount": 197.45
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 197.45,
              "estimated_amount": 197.45
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 197.45,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 207.32,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 197.45,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 199.42,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 197.45,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 199.42,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 53.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 41.09
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 46.72
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 46.72
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 197.45,
              "estimated_amount": 197.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 64,
              "additional_payer_notes": "INFUSION"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 41.66
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 46.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 41.09
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 46.72
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 197.45,
              "estimated_amount": 197.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 64,
              "additional_payer_notes": "INFUSION"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 53.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 51.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 41.09
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 197.45,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 197.45,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 64,
              "additional_payer_notes": "INFUSION"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 41.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 41.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 41.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 41.66
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 197.45,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 197.45,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 197.45,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 199.42,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 197.45,
              "estimated_amount": 197.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 41.66
            }
          ],
          "minimum": 197.45,
          "maximum": 197.45
        }
      ]
    },
    {
      "description": "Gauze Impregnated Dry Sodium Mesalt 2 in X 2 In",
      "code_information": [
        {
          "code": "PX-CH-SM285580",
          "type": "CDM"
        },
        {
          "code": "A6222",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1.52,
          "discounted_cash": 0.99,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.52,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.29
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.29
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.52,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.52,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.52,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.52,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.25
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.99
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.99
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.52,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1.52,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.99
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1.52
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.52,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.25
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.52,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.52,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.52,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.52,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.52,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.29
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.52,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.99
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.29
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.52,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.26
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.29
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.52,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.52,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.99
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.29
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1.52,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.52,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.52,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1.33
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.52,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.29
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.52,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.29
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.52,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Rubeola Antibody So",
      "code_information": [
        {
          "code": "PX-30200508",
          "type": "CDM"
        },
        {
          "code": "86765",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 54,
          "discounted_cash": 35.1,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 24.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 24.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 44.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 44.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 29.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 23.14,
              "estimated_amount": 23.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 27
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.05,
              "estimated_amount": 11.05
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 45.9
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 45.9
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 45.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 23.14,
              "estimated_amount": 23.14
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 39.42
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 25,
              "estimated_amount": 13.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 45.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 24.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 29.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 12.88,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.01,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 40.5
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 45.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 24.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 44.28
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.88,
              "estimated_amount": 12.88
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 40.5
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 45.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 23.14,
              "estimated_amount": 23.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.24,
              "estimated_amount": 22.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 48.3,
              "estimated_amount": 48.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 27
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 12.88,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 12.88,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 45.9
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 45.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 24.3
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 27
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 44.28
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 27
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.84,
              "estimated_amount": 18.84
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 39.42
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 12.88,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 12.88,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.05,
              "estimated_amount": 11.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 29.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 12.88,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.01,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 12.88,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.01,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 45.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 44.28
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 27
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 45.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 23.14,
              "estimated_amount": 23.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 23.14,
              "estimated_amount": 23.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 48.3,
              "estimated_amount": 48.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 27
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 12.88,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 12.88,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 35.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 48.3,
              "estimated_amount": 48.3
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 39.42
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 39.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 44.28
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.88,
              "estimated_amount": 12.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 48.3,
              "estimated_amount": 48.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 48.3,
              "estimated_amount": 48.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 48.3,
              "estimated_amount": 48.3
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 35.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 23.14,
              "estimated_amount": 23.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 27
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 39.42
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 54
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.88,
              "estimated_amount": 12.88
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 47.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 24.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 23.14,
              "estimated_amount": 23.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 23.14,
              "estimated_amount": 23.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 48.3,
              "estimated_amount": 48.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 48.3,
              "estimated_amount": 48.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.24,
              "estimated_amount": 22.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 23.14,
              "estimated_amount": 23.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 48.3,
              "estimated_amount": 48.3
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 45.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 29.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 29.7
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.88,
              "estimated_amount": 12.88
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.88,
              "estimated_amount": 12.88
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.88,
              "estimated_amount": 12.88
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.84,
              "estimated_amount": 18.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 48.3,
              "estimated_amount": 48.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 48.3,
              "estimated_amount": 48.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 48.3,
              "estimated_amount": 48.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.05,
              "estimated_amount": 11.05
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.84,
              "estimated_amount": 18.84
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 40.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.24,
              "estimated_amount": 22.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 23.14,
              "estimated_amount": 23.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 48.3,
              "estimated_amount": 48.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 48.3,
              "estimated_amount": 48.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 24.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 44.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 29.7
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.88,
              "estimated_amount": 12.88
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 12.88,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 12.88,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 24.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 24.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 12.88,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.01,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 12.88,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 48.3,
              "estimated_amount": 48.3
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 39.42
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 45.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.24,
              "estimated_amount": 22.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 23.14,
              "estimated_amount": 23.14
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 45.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 24.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 44.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 29.7
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 12.88,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 12.88,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.01,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 45.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 23.14,
              "estimated_amount": 23.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.24,
              "estimated_amount": 22.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.24,
              "estimated_amount": 22.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 48.3,
              "estimated_amount": 48.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 48.3,
              "estimated_amount": 48.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.05,
              "estimated_amount": 11.05
            }
          ],
          "minimum": 11.05,
          "maximum": 48.3
        }
      ]
    },
    {
      "description": "HC Antibody Screen RBC",
      "code_information": [
        {
          "code": "PX-30200531",
          "type": "CDM"
        },
        {
          "code": "86850",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 59,
          "discounted_cash": 38.35,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 37.29
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 32.45
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 47.29,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 59,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 50.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 36.64,
              "estimated_amount": 36.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 36.64,
              "estimated_amount": 36.64
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 50.15
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 38.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 45.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 36.64,
              "estimated_amount": 36.64
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 43.07
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 32.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 32.75
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 50.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 51.74
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 32.45
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 49.66,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 50.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 37.88
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 43.07
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 50.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 45.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 36.64,
              "estimated_amount": 36.64
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 43.07
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 50.15
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 38.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 37.29
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 48.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 48.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 48.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 48.38
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 47.29,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 59,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 48.91
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 47.29,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 50.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 36.64,
              "estimated_amount": 36.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 36.64,
              "estimated_amount": 36.64
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 50.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 37.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 45.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 37.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 36.64,
              "estimated_amount": 36.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 37.29
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 48.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 32.45
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 47.77,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 47.77,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.11,
              "estimated_amount": 5.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 51.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 37.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 36.64,
              "estimated_amount": 36.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 36.64,
              "estimated_amount": 36.64
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 38.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 37.88
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 32.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 44.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 37.29
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 48.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 48.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 32.45
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 47.77,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 47.77,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 47.29,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 50.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 37.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 37.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 45.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 36.64,
              "estimated_amount": 36.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 36.64,
              "estimated_amount": 36.64
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 38.41
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 47.29,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 47.29,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 50.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 37.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 37.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 47.73
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 50.15
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.11,
              "estimated_amount": 5.11
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 49.66,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 59,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 37.29
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 48.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 37.88
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 49.66,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 49.66,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 43.07
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 59
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 32.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 37.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 36.64,
              "estimated_amount": 36.64
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 47.29,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 48.91
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 47.29,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 47.77,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 51.92
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 44.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 36.64,
              "estimated_amount": 36.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 36.64,
              "estimated_amount": 36.64
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 38.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 38.41
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 43.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 36.64,
              "estimated_amount": 36.64
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 38.41
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 43.07
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 50.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 48.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 32.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 32.45
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 47.29,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 37.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 37.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 45.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 45.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 36.64,
              "estimated_amount": 36.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 36.64,
              "estimated_amount": 36.64
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 47.73
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 47.29,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 16.11
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 50.15
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.11,
              "estimated_amount": 5.11
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 44.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 37.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 37.88
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 50.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 32.45
            }
          ],
          "minimum": 5.11,
          "maximum": 36.64
        }
      ]
    },
    {
      "description": "HC Hemoglobin",
      "code_information": [
        {
          "code": "PX-30500006",
          "type": "CDM"
        },
        {
          "code": "85018",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 10,
          "discounted_cash": 6.5,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.32
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2.37,
              "estimated_amount": 2.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.89,
              "estimated_amount": 8.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.89,
              "estimated_amount": 8.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.89,
              "estimated_amount": 8.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6.51
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 5.55
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 2.73
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3.46,
              "estimated_amount": 3.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.89,
              "estimated_amount": 8.89
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 8.29
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2.37,
              "estimated_amount": 2.37
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 2.37,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 2.49,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 2.37,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 2.49,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3.46,
              "estimated_amount": 3.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.89,
              "estimated_amount": 8.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.89,
              "estimated_amount": 8.89
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7.3
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3.46,
              "estimated_amount": 3.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.5
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 7.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 8.77
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.2
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2.37,
              "estimated_amount": 2.37
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 10,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.42
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 8.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 8.09
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 5.55
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.5
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.89,
              "estimated_amount": 8.89
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7.3
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 2.37,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 2.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.5
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 8.8
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.89,
              "estimated_amount": 8.89
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7.3
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.89,
              "estimated_amount": 8.89
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 5.55
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.5
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 10,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.32
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 8.29
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2.37,
              "estimated_amount": 2.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.64
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 5.55
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 6.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.42
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6.51
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 8.77
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 2.37,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 2.39,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.89,
              "estimated_amount": 8.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.89,
              "estimated_amount": 8.89
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.89,
              "estimated_amount": 8.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.89,
              "estimated_amount": 8.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.89,
              "estimated_amount": 8.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.89,
              "estimated_amount": 8.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6.51
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 7.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2.37,
              "estimated_amount": 2.37
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 2.37,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 2.39,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 2.37,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 2.49,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.42
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6.51
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 10
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 2.37,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 2.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.42
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7.3
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7.3
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 2.37,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 2.39,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2.37,
              "estimated_amount": 2.37
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 10,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.89,
              "estimated_amount": 8.89
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 2.37,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 2.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.5
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 6.5
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.89,
              "estimated_amount": 8.89
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 7.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.32
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 2.37,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 2.39,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 2.37,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 2.39,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 8.29
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 2.37,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 2.49,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2.37,
              "estimated_amount": 2.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.42
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.5
            }
          ],
          "minimum": 2.37,
          "maximum": 8.89
        }
      ]
    },
    {
      "description": "HC Factor 8 Clotting Assay",
      "code_information": [
        {
          "code": "PX-30500021",
          "type": "CDM"
        },
        {
          "code": "85240",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1345,
          "discounted_cash": 874.25,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 605.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 605.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1102.9
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1008.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.41,
              "estimated_amount": 12.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 67.13,
              "estimated_amount": 67.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 67.13,
              "estimated_amount": 67.13
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1345
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1143.25
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 874.25
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1143.25
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 887.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 672.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.36,
              "estimated_amount": 15.36
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 17.9,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 18.08,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 605.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 739.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.91,
              "estimated_amount": 12.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 67.13,
              "estimated_amount": 67.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 67.13,
              "estimated_amount": 67.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 67.13,
              "estimated_amount": 67.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 67.13,
              "estimated_amount": 67.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 672.5
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 17.9,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 17.9,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 67.13,
              "estimated_amount": 67.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 672.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 981.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1143.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 605.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1102.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1102.9
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1143.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 605.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1102.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1102.9
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.9,
              "estimated_amount": 17.9
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 17.9,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 18.8,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 981.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 67.13,
              "estimated_amount": 67.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 672.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.36,
              "estimated_amount": 15.36
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 672.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.9,
              "estimated_amount": 17.9
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1143.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 605.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1102.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 739.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 739.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.41,
              "estimated_amount": 12.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 67.13,
              "estimated_amount": 67.13
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 17.9,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 17.9,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1143.25
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1008.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.41,
              "estimated_amount": 12.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.41,
              "estimated_amount": 12.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.41,
              "estimated_amount": 12.41
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 739.75
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1345,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1345,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 739.75
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.9,
              "estimated_amount": 17.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.41,
              "estimated_amount": 12.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.91,
              "estimated_amount": 12.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.91,
              "estimated_amount": 12.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.91,
              "estimated_amount": 12.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 67.13,
              "estimated_amount": 67.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 605.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1102.9
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.9,
              "estimated_amount": 17.9
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 294.56
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1143.25
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.9,
              "estimated_amount": 17.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.91,
              "estimated_amount": 12.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.91,
              "estimated_amount": 12.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 67.13,
              "estimated_amount": 67.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 67.13,
              "estimated_amount": 67.13
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1143.25
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.66,
              "estimated_amount": 6.66
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1143.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.91,
              "estimated_amount": 12.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.91,
              "estimated_amount": 12.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.91,
              "estimated_amount": 12.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 67.13,
              "estimated_amount": 67.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 67.13,
              "estimated_amount": 67.13
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.36,
              "estimated_amount": 15.36
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1008.75
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 17.9,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 18.8,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1143.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 605.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 739.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 17.9,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 18.08,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.9,
              "estimated_amount": 17.9
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 17.9,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 18.8,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 17.9,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 18.08,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1345,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1183.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 67.13,
              "estimated_amount": 67.13
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 981.85
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 17.9,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 17.9,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 25,
              "estimated_amount": 336.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.91,
              "estimated_amount": 12.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.91,
              "estimated_amount": 12.91
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 672.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 981.85
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 981.85
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1143.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 605.25
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 672.5
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 17.9,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 18.8,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 605.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1102.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 739.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 17.9,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 18.08,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 17.9,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 18.08,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 672.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 672.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 672.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1143.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 67.13,
              "estimated_amount": 67.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 67.13,
              "estimated_amount": 67.13
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 981.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.36,
              "estimated_amount": 15.36
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.9,
              "estimated_amount": 17.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.91,
              "estimated_amount": 12.91
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1143.25
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.66,
              "estimated_amount": 6.66
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1143.25
            }
          ],
          "minimum": 6.66,
          "maximum": 67.13
        }
      ]
    },
    {
      "description": "HC Factor 13 Fibrin Stabilizing So",
      "code_information": [
        {
          "code": "PX-30500030",
          "type": "CDM"
        },
        {
          "code": "85290",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 579,
          "discounted_cash": 376.35,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 365.93
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 474.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 371.72
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 376.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 371.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 61.28,
              "estimated_amount": 61.28
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 321.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 365.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 365.93
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 318.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 318.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 61.28,
              "estimated_amount": 61.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 376.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 442.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 442.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 371.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 442.36
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 422.67
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 158.07
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 492.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 507.78
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 492.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 365.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 365.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 365.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 371.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 371.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 61.28,
              "estimated_amount": 61.28
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 422.67
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 492.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 371.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 371.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 371.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 61.28,
              "estimated_amount": 61.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 61.28,
              "estimated_amount": 61.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 474.78
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 479.99
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 318.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 442.36
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 434.25
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 422.67
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 492.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 507.78
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 492.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 371.72
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 321.35
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 492.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 61.28,
              "estimated_amount": 61.28
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 579
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 474.78
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 318.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 365.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 365.93
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 318.45
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 479.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 61.28,
              "estimated_amount": 61.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 468.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 376.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 371.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 61.28,
              "estimated_amount": 61.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 61.28,
              "estimated_amount": 61.28
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 376.35
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 434.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 474.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 474.78
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 318.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 442.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 371.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 61.28,
              "estimated_amount": 61.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 376.93
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 321.35
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 321.35
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 492.15
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 492.15
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 382.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 442.36
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 474.78
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 318.45
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 492.15
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 479.99
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 509.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 61.28,
              "estimated_amount": 61.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 468.41
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 422.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 371.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 61.28,
              "estimated_amount": 61.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 61.28,
              "estimated_amount": 61.28
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 422.67
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 474.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 474.78
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 434.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 61.28,
              "estimated_amount": 61.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 61.28,
              "estimated_amount": 61.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 61.28,
              "estimated_amount": 61.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 61.28,
              "estimated_amount": 61.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 376.93
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 422.67
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 492.15
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 492.15
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 492.15
            }
          ],
          "minimum": 61.28,
          "maximum": 61.28
        }
      ]
    },
    {
      "description": "HC Platelet Aggregation",
      "code_information": [
        {
          "code": "PX-30500062",
          "type": "CDM"
        },
        {
          "code": "85576",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 592,
          "discounted_cash": 384.8,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 374.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 380.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 452.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 93.41,
              "estimated_amount": 93.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 93.41,
              "estimated_amount": 93.41
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.12,
              "estimated_amount": 20.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 93.41,
              "estimated_amount": 93.41
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 503.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 374.14
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 503.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 380.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 93.41,
              "estimated_amount": 93.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 478.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 478.93
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 432.16
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 432.16
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 592
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 444
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 384.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 380.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 93.41,
              "estimated_amount": 93.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 385.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 374.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 485.44
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.91,
              "estimated_amount": 24.91
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.91,
              "estimated_amount": 24.91
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 520.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 374.14
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 24.91,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 25.16,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 24.91,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 25.16,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.91,
              "estimated_amount": 24.91
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.12,
              "estimated_amount": 20.12
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 503.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 380.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 452.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 93.41,
              "estimated_amount": 93.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 93.41,
              "estimated_amount": 93.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 93.41,
              "estimated_amount": 93.41
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 503.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 385.39
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 385.39
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 503.2
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 444
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.12,
              "estimated_amount": 20.12
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 503.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 24.91,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 25.16,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 24.91,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 26.16,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 325.6
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 444
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 503.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 93.41,
              "estimated_amount": 93.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 93.41,
              "estimated_amount": 93.41
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 432.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 380.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 452.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 93.41,
              "estimated_amount": 93.41
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 328.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 328.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 374.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 374.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 485.44
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.91,
              "estimated_amount": 24.91
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 592,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 24.91,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 25.16,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 325.6
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.91,
              "estimated_amount": 24.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 93.41,
              "estimated_amount": 93.41
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 432.16
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 328.56
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 390.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 452.29
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 328.56
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 503.2
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 503.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 485.44
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 24.91,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 26.16,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 592,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 93.41,
              "estimated_amount": 93.41
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 432.16
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 24.91,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 24.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 452.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 93.41,
              "estimated_amount": 93.41
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 503.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 374.14
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 325.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 325.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 325.6
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 24.91,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 26.16,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 485.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 485.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 325.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 24.91,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 25.16,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.91,
              "estimated_amount": 24.91
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.91,
              "estimated_amount": 24.91
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 490.77
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 592,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 380.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 380.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 380.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 93.41,
              "estimated_amount": 93.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 93.41,
              "estimated_amount": 93.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 385.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 93.41,
              "estimated_amount": 93.41
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 24.91,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 24.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 161.62
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 503.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 519.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 374.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 485.44
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 490.77
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 485.44
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 490.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 380.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 385.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 380.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 452.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 380.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 380.06
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 432.16
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 24.91,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 24.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 485.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 325.6
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 503.2
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 503.2
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 503.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 519.18
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 24.91,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 26.16,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            }
          ],
          "minimum": 20.12,
          "maximum": 93.41
        }
      ]
    },
    {
      "description": "HC Aptt",
      "code_information": [
        {
          "code": "PX-30500074",
          "type": "CDM"
        },
        {
          "code": "85730",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 59,
          "discounted_cash": 38.35,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 37.29
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 48.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 32.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 32.45
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 48.91
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.01,
              "estimated_amount": 6.01
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.01,
              "estimated_amount": 6.01
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 50.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.54,
              "estimated_amount": 22.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.54,
              "estimated_amount": 22.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.54,
              "estimated_amount": 22.54
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 43.07
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 32.75
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 50.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 37.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 37.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 37.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.54,
              "estimated_amount": 22.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 38.41
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 43.07
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 48.91
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 50.15
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 51.92
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 6.01,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 6.31,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 44.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 37.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 38.41
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 43.07
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 50.15
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 50.15
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 50.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.54,
              "estimated_amount": 22.54
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 50.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 37.29
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 48.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 32.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 45.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.54,
              "estimated_amount": 22.54
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 50.15
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 38.94
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 38.35
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 6.01,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 6.31,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 50.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 48.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 48.38
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 6.01,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 6.07,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.01,
              "estimated_amount": 6.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 37.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.54,
              "estimated_amount": 22.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.54,
              "estimated_amount": 22.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.54,
              "estimated_amount": 22.54
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 43.07
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 50.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 37.88
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 6.01,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 6.01,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 44.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 32.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 32.45
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 6.01,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 6.31,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.77,
              "estimated_amount": 8.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 37.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 37.29
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.01,
              "estimated_amount": 6.01
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 50.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 45.08
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 32.75
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 6.01,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 6.01,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 50.15
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 16.11
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.77,
              "estimated_amount": 8.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 37.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.54,
              "estimated_amount": 22.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 47.73
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 37.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 37.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 45.08
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 6.01,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 6.07,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 45.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 45.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 37.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.54,
              "estimated_amount": 22.54
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 32.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 32.75
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.01,
              "estimated_amount": 6.01
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.01,
              "estimated_amount": 6.01
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 6.01,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 6.31,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 37.29
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 48.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 48.38
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 6.01,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 6.07,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 48.91
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 59,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 59,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 37.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 38.41
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 6.01,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 6.01,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 44.25
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 50.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.54,
              "estimated_amount": 22.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 47.73
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.77,
              "estimated_amount": 8.77
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 32.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 32.45
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.01,
              "estimated_amount": 6.01
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 59,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 51.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 37.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 37.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 37.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.54,
              "estimated_amount": 22.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.54,
              "estimated_amount": 22.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 37.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.54,
              "estimated_amount": 22.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 51.74
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 48.38
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 6.01,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 6.07,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 6.01,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 6.07,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 45.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.54,
              "estimated_amount": 22.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.54,
              "estimated_amount": 22.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 38.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 38.41
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 43.07
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 43.07
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 50.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 48.38
            }
          ],
          "minimum": 6.01,
          "maximum": 22.54
        }
      ]
    },
    {
      "description": "HC Culture Aerobic",
      "code_information": [
        {
          "code": "PX-30600005",
          "type": "CDM"
        },
        {
          "code": "87070",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 297,
          "discounted_cash": 193.05,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 187.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 187.7
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 8.62,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 9.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.62,
              "estimated_amount": 8.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 32.33,
              "estimated_amount": 32.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 32.33,
              "estimated_amount": 32.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 32.33,
              "estimated_amount": 32.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 32.33,
              "estimated_amount": 32.33
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 216.81
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 216.81
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 164.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 190.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 190.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 32.33,
              "estimated_amount": 32.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 32.33,
              "estimated_amount": 32.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 32.33,
              "estimated_amount": 32.33
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 243.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 187.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 163.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 190.67
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 8.62,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 8.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 252.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 226.91
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 164.84
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 252.45
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 252.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 243.54
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 246.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 187.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 8.62,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 8.71,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 226.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 226.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 32.33,
              "estimated_amount": 32.33
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 240.27
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 297
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.58,
              "estimated_amount": 12.58
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 222.75
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 252.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 163.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 8.62,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 8.71,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.62,
              "estimated_amount": 8.62
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.62,
              "estimated_amount": 8.62
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 8.62,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 9.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 243.54
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.62,
              "estimated_amount": 8.62
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 252.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 193.35
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 216.81
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 164.84
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.58,
              "estimated_amount": 12.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 190.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 226.91
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 216.81
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 252.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 260.47
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 243.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 243.54
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 163.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 163.35
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 297,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 187.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 187.7
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 246.21
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 252.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 190.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 32.33,
              "estimated_amount": 32.33
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 193.35
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 81.08
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 8.62,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 8.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 196.02
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.62,
              "estimated_amount": 8.62
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 8.62,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 8.71,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 297,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 190.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 226.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 32.33,
              "estimated_amount": 32.33
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 261.36
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 193.35
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 193.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 190.67
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 193.35
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 193.35
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 216.81
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 252.45
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 222.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 243.54
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 8.62,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 8.71,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 8.62,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 9.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 297,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 222.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 187.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 243.54
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.62,
              "estimated_amount": 8.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 190.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 190.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 32.33,
              "estimated_amount": 32.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 32.33,
              "estimated_amount": 32.33
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 252.45
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 252.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 226.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 32.33,
              "estimated_amount": 32.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 32.33,
              "estimated_amount": 32.33
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 240.27
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 164.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 187.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 163.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 163.35
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 246.21
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 252.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 243.54
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 163.35
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 252.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 190.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 32.33,
              "estimated_amount": 32.33
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 252.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 190.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 32.33,
              "estimated_amount": 32.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 32.33,
              "estimated_amount": 32.33
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 8.62,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 8.71,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.62,
              "estimated_amount": 8.62
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 8.62,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 9.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 190.67
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 216.81
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 8.62,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 8.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 252.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 260.47
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.58,
              "estimated_amount": 12.58
            }
          ],
          "minimum": 8.62,
          "maximum": 32.33
        }
      ]
    },
    {
      "description": "HC Stain for Inclusion Bodies Parasites So",
      "code_information": [
        {
          "code": "PX-30600161",
          "type": "CDM"
        },
        {
          "code": "87207",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 643,
          "discounted_cash": 417.95,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 406.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 527.26
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 643,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 491.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.46,
              "estimated_amount": 22.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 418.59
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 469.39
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 5.99,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 5.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 546.55
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.12,
              "estimated_amount": 20.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 412.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.46,
              "estimated_amount": 22.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.46,
              "estimated_amount": 22.46
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 546.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 406.38
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 546.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 406.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 527.26
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.99,
              "estimated_amount": 5.99
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 533.05
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 643,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 412.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 491.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 412.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 491.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 418.59
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 353.65
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 353.65
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 5.99,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 6.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 5.99,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 6.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 533.05
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.99,
              "estimated_amount": 5.99
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 5.99,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 6.29,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 546.55
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 546.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 491.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.46,
              "estimated_amount": 22.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 520.19
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 417.95
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.12,
              "estimated_amount": 20.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 412.81
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 469.39
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 546.55
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.99,
              "estimated_amount": 5.99
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 5.99,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 6.29,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 643,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 563.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 406.38
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.99,
              "estimated_amount": 5.99
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.12,
              "estimated_amount": 20.12
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 5.99,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 6.29,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.46,
              "estimated_amount": 22.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.46,
              "estimated_amount": 22.46
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 175.54
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 546.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 412.81
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 546.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 406.38
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 5.99,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 6.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 412.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.46,
              "estimated_amount": 22.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 520.19
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 469.39
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 5.99,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 5.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 546.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.46,
              "estimated_amount": 22.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 527.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 527.26
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 5.99,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 6.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 5.99,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 6.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 546.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 406.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 527.26
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 5.99,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 6.29,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.46,
              "estimated_amount": 22.46
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 565.84
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 469.39
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 356.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 412.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.46,
              "estimated_amount": 22.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.46,
              "estimated_amount": 22.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 418.59
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 469.39
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 5.99,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 5.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 643
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 546.55
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 546.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 353.65
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.99,
              "estimated_amount": 5.99
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 482.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 491.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 412.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.46,
              "estimated_amount": 22.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 418.59
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 356.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 412.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 412.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 491.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.46,
              "estimated_amount": 22.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.46,
              "estimated_amount": 22.46
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 469.39
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 356.87
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 482.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 527.26
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 353.65
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.99,
              "estimated_amount": 5.99
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.99,
              "estimated_amount": 5.99
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 563.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 406.38
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 533.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 412.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 418.59
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 356.87
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 546.55
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 546.55
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 424.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 412.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.46,
              "estimated_amount": 22.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 406.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 527.26
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 353.65
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 353.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.46,
              "estimated_amount": 22.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.46,
              "estimated_amount": 22.46
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 482.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 527.26
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 353.65
            }
          ],
          "minimum": 5.99,
          "maximum": 22.46
        }
      ]
    },
    {
      "description": "HC Bartonella by Pcr",
      "code_information": [
        {
          "code": "PX-30600187",
          "type": "CDM"
        },
        {
          "code": "87471",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 276,
          "discounted_cash": 179.4,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 174.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 210.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 210.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 177.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 276
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 234.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 226.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 151.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 151.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 223.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 177.19
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 201.48
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 153.18
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 234.6
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 234.6
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 228.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 174.43
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 151.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 151.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 151.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 177.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 179.68
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 234.6
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 234.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 226.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 226.32
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 228.8
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 228.8
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 234.6
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 234.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 153.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 210.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 177.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 179.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 223.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 179.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 226.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 151.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 151.8
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 207
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 234.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 226.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 226.32
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 242.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 177.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 210.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 177.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 210.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 201.48
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 207
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 177.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 177.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 207
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 242.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 226.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 177.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 179.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 179.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 177.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 201.48
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 201.48
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 75.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 174.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 174.43
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 234.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 182.16
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 234.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 174.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 174.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 174.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 210.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 153.18
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 234.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 177.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 201.48
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 234.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 242.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 174.43
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 226.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 177.19
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 201.48
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 153.18
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 179.4
            }
          ],
          "minimum": 131.59,
          "maximum": 131.59
        }
      ]
    },
    {
      "description": "Lyme Disease by Pcr Sendout",
      "code_information": [
        {
          "code": "PX-30600189",
          "type": "CDM"
        },
        {
          "code": "87476",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 247,
          "discounted_cash": 160.55,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 156.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 156.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 156.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 202.54
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 135.85
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 35.09,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 36.84,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 35.09,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 35.44,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 160.8
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 180.31
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 163.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 158.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 158.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 137.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 216.62
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 135.85
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 35.09,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 36.84,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 202.54
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 135.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 188.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 188.71
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 199.82
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 180.31
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 247
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 137.09
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 209.95
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 209.95
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 51.28,
              "estimated_amount": 51.28
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 209.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 160.8
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 209.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 216.62
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 202.54
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.09,
              "estimated_amount": 35.09
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 35.09,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 36.84,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 209.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 202.54
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 35.09,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 35.44,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.09,
              "estimated_amount": 35.09
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.09,
              "estimated_amount": 35.09
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 51.28,
              "estimated_amount": 51.28
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 209.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 158.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 158.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 188.71
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 180.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 158.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 202.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 202.54
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 35.09,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 35.44,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 35.09,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 35.44,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 35.09,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 36.84,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 156.1
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 204.76
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 209.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 158.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 188.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 180.31
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 180.31
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 209.95
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 160.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 135.85
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.09,
              "estimated_amount": 35.09
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 209.95
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 217.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 156.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 202.54
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 135.85
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 247,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 158.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 188.71
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 51.28,
              "estimated_amount": 51.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 156.1
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 204.76
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 204.76
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 135.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 247,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 160.8
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 35.09,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 35.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 35.09,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 35.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 188.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 158.57
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 137.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 156.1
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.09,
              "estimated_amount": 35.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 158.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 158.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 199.82
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 180.31
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 137.09
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 209.95
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 185.25
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 209.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 135.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 202.54
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 35.09,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 35.44,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 247,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 185.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 160.8
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 67.43
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 209.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 209.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 160.8
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 35.09,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 35.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 185.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 156.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 158.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 158.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 209.95
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.09,
              "estimated_amount": 35.09
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.09,
              "estimated_amount": 35.09
            }
          ],
          "minimum": 35.09,
          "maximum": 131.59
        }
      ]
    },
    {
      "description": "HC Hcv Virus Quantitation",
      "code_information": [
        {
          "code": "PX-30600214",
          "type": "CDM"
        },
        {
          "code": "87522",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1261,
          "discounted_cash": 819.65,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 796.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 796.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 693.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 809.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 809.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 809.56
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1071.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 809.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 809.56
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 920.53
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1071.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 796.95
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 42.84,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 44.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1261,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 796.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 963.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 160.65,
              "estimated_amount": 160.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 820.91
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 920.53
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 42.84,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 42.84,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 809.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 809.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 160.65,
              "estimated_amount": 160.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 160.65,
              "estimated_amount": 160.65
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 920.53
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 920.53
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 920.53
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 42.84,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 42.84,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1071.85
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 945.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1105.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1034.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1034.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1034.02
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 693.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 42.84,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 43.27,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 42.84,
              "estimated_amount": 42.84
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 42.84,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 43.27,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1261,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 42.84,
              "estimated_amount": 42.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 963.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 160.65,
              "estimated_amount": 160.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 160.65,
              "estimated_amount": 160.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 160.65,
              "estimated_amount": 160.65
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1071.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 796.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 693.55
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1045.37
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1034.02
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 693.55
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1045.37
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1071.85
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1071.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 963.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 809.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 699.86
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 699.86
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 62.59,
              "estimated_amount": 62.59
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 832.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 809.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 160.65,
              "estimated_amount": 160.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 820.91
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 699.86
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 819.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 796.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1034.02
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 42.84,
              "estimated_amount": 42.84
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 693.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 693.55
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 42.84,
              "estimated_amount": 42.84
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 945.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 963.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 963.4
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1071.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 699.86
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1261
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1071.85
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 62.59,
              "estimated_amount": 62.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 796.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1034.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1034.02
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 42.84,
              "estimated_amount": 42.84
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 693.55
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 42.84,
              "estimated_amount": 42.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 809.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 809.56
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 276.16
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1261,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 42.84,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 44.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 820.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 160.65,
              "estimated_amount": 160.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1020.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1020.15
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 920.53
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1071.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 42.84,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 43.27,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 796.95
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 42.84,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 44.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 42.84,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 44.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 963.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 160.65,
              "estimated_amount": 160.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 160.65,
              "estimated_amount": 160.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 160.65,
              "estimated_amount": 160.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 160.65,
              "estimated_amount": 160.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 160.65,
              "estimated_amount": 160.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 160.65,
              "estimated_amount": 160.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 820.91
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 820.91
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1071.85
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1045.37
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1071.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1034.02
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 42.84,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 43.27,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 809.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 160.65,
              "estimated_amount": 160.65
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1071.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 160.65,
              "estimated_amount": 160.65
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1071.85
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 344.25
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 945.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 42.84,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 43.27,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 42.84,
              "estimated_amount": 42.84
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1071.85
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1109.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 160.65,
              "estimated_amount": 160.65
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 42.84,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 42.84,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1105.9
            }
          ],
          "minimum": 42.84,
          "maximum": 160.65
        }
      ]
    },
    {
      "description": "HC Dna Probe Gonorrhoeae Gc",
      "code_information": [
        {
          "code": "PX-30600228",
          "type": "CDM"
        },
        {
          "code": "87590",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 287,
          "discounted_cash": 186.55,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 181.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 157.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 219.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 100.8,
              "estimated_amount": 100.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 100.8,
              "estimated_amount": 100.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 100.8,
              "estimated_amount": 100.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 232.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 184.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 219.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 181.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 157.85
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 237.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 181.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 184.25
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 243.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 184.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 100.8,
              "estimated_amount": 100.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 100.8,
              "estimated_amount": 100.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 100.8,
              "estimated_amount": 100.8
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 243.95
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 243.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 181.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 235.34
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 157.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 184.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 100.8,
              "estimated_amount": 100.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 100.8,
              "estimated_amount": 100.8
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 209.51
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 189.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 184.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 184.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 186.84
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 159.29
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 186.55
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 243.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 181.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 235.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 251.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 235.34
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 252.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 219.27
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 209.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 184.25
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 215.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 251.7
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 237.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 100.8,
              "estimated_amount": 100.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 100.8,
              "estimated_amount": 100.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 100.8,
              "estimated_amount": 100.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 186.84
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 243.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 100.8,
              "estimated_amount": 100.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 100.8,
              "estimated_amount": 100.8
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 209.51
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 287
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 243.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 181.38
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 215.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 235.34
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 157.85
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 237.92
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 243.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 186.84
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 243.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 184.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 219.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 184.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 100.8,
              "estimated_amount": 100.8
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 209.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 235.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 235.34
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 243.95
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 243.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 100.8,
              "estimated_amount": 100.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 232.18
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 159.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 219.27
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 235.34
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 157.85
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 243.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 186.84
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 209.51
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 159.29
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 159.29
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 243.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 184.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 100.8,
              "estimated_amount": 100.8
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 209.51
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 215.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 181.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 235.34
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 157.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 184.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 184.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 219.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 100.8,
              "estimated_amount": 100.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 186.84
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 78.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 181.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 157.85
            }
          ],
          "minimum": 100.8,
          "maximum": 100.8
        }
      ]
    },
    {
      "description": "HC Hpv Types 16 and 18 Only",
      "code_information": [
        {
          "code": "PX-30600232",
          "type": "CDM"
        },
        {
          "code": "87625",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 101,
          "discounted_cash": 65.65,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 88.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 63.83
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 55.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 152.06,
              "estimated_amount": 152.06
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 75.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 152.06,
              "estimated_amount": 152.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 152.06,
              "estimated_amount": 152.06
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 101
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 40.55,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 40.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 65.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 63.83
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 55.55
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 83.73
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 83.73
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 40.55,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 40.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 63.83
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 82.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 82.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 55.55
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 83.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 152.06,
              "estimated_amount": 152.06
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 85.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 77.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 77.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 152.06,
              "estimated_amount": 152.06
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 85.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 85.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 82.82
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 40.55,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 40.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 40.55,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 42.58,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 40.55,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 42.58,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 40.55,
              "estimated_amount": 40.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 88.58
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 55.55
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 40.55,
              "estimated_amount": 40.55
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 40.55,
              "estimated_amount": 40.55
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 41.65,
              "estimated_amount": 41.65
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 85.85
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 88.88
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 85.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 152.06,
              "estimated_amount": 152.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 81.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 64.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 152.06,
              "estimated_amount": 152.06
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 56.06
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 85.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 40.55,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 40.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 40.55,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 42.58,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 63.83
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 55.55
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 40.55,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 42.58,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 64.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 152.06,
              "estimated_amount": 152.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 65.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 152.06,
              "estimated_amount": 152.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 152.06,
              "estimated_amount": 152.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 152.06,
              "estimated_amount": 152.06
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 73.73
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 41.65,
              "estimated_amount": 41.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 40.55,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 40.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 85.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 82.82
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 40.55,
              "estimated_amount": 40.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 64.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 77.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 152.06,
              "estimated_amount": 152.06
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 73.73
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 66.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 64.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 81.71
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 73.73
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 40.55,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 40.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 27.57
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 85.85
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 85.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 40.55,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 40.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 75.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 82.82
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 40.55,
              "estimated_amount": 40.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 64.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 64.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 152.06,
              "estimated_amount": 152.06
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 85.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 152.06,
              "estimated_amount": 152.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 152.06,
              "estimated_amount": 152.06
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 73.73
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 40.55,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 40.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 75.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 63.83
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 82.82
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 40.55,
              "estimated_amount": 40.55
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 101,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 63.83
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 82.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 82.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 77.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 65.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 64.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 65.75
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 73.73
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 56.06
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 56.06
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 85.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 55.55
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 40.55,
              "estimated_amount": 40.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 63.83
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 101,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 64.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 64.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 65.75
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 85.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 64.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 64.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 77.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 152.06,
              "estimated_amount": 152.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 152.06,
              "estimated_amount": 152.06
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 56.06
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 41.65,
              "estimated_amount": 41.65
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 85.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 55.55
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 101,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 85.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 77.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 64.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 65.75
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 73.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 63.83
            }
          ],
          "minimum": 40.55,
          "maximum": 152.06
        }
      ]
    },
    {
      "description": "HC Mrsa Screen Probe",
      "code_information": [
        {
          "code": "PX-30600235",
          "type": "CDM"
        },
        {
          "code": "87641",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 627,
          "discounted_cash": 407.55,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 396.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 514.14
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 519.78
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 408.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 402.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 408.18
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 532.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 344.85
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 35.09,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 36.84,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 627,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 532.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 396.26
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 344.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 408.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 479.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 402.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 457.71
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 470.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 396.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 514.14
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 51.85,
              "estimated_amount": 51.85
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 532.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 514.14
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 35.09,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 35.44,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.09,
              "estimated_amount": 35.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 457.71
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 532.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 479.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 402.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 402.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 171.17
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 514.14
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.09,
              "estimated_amount": 35.09
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 532.95
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 35.09,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 36.84,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 402.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 507.24
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 457.71
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 532.95
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 407.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 457.71
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 532.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 396.26
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.09,
              "estimated_amount": 35.09
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 35.09,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 36.84,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 514.14
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 35.09,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 35.44,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.09,
              "estimated_amount": 35.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 479.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 507.24
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 532.95
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 532.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 457.71
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 347.99
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 35.09,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 35.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 532.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 532.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 514.14
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 344.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 344.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 35.09,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 35.44,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 35.09,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 35.44,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.09,
              "estimated_amount": 35.09
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.09,
              "estimated_amount": 35.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 402.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 402.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 35.09,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 35.44,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 408.18
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 457.71
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 347.99
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 51.85,
              "estimated_amount": 51.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 479.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 402.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 402.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 402.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 532.95
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 35.09,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 36.84,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 551.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 514.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 514.14
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.09,
              "estimated_amount": 35.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 479.03
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 627
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 347.99
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 470.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 402.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 51.85,
              "estimated_amount": 51.85
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 519.78
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 519.78
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 627,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 627,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 470.25
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 532.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 396.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 396.26
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 344.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 344.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 402.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 479.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 35.09,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 35.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 347.99
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 532.95
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 413.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 549.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 549.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 408.18
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 35.09,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 35.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 396.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 396.26
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 344.85
            }
          ],
          "minimum": 35.09,
          "maximum": 131.59
        }
      ]
    },
    {
      "description": "Tissue Culture Neoplastic Disorders Solid Tumor Sendout",
      "code_information": [
        {
          "code": "PX-31000017",
          "type": "CDM"
        },
        {
          "code": "88239",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2611,
          "discounted_cash": 1697.15,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1650.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1436.05
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2219.35
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2611,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1676.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 553.2,
              "estimated_amount": 553.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 553.2,
              "estimated_amount": 553.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 553.2,
              "estimated_amount": 553.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2112.3
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 215.56,
              "estimated_amount": 215.56
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1436.05
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2164.52
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 147.52,
              "estimated_amount": 147.52
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 147.52,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 154.9,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1676.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 553.2,
              "estimated_amount": 553.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 553.2,
              "estimated_amount": 553.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 553.2,
              "estimated_amount": 553.2
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1906.03
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 147.52,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 147.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1449.11
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2219.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1676.26
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 1697.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2289.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1650.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2141.02
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1436.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 147.52,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 149,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2611,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 147.52,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 154.9,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2611,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1676.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 553.2,
              "estimated_amount": 553.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1699.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1994.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 553.2,
              "estimated_amount": 553.2
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2219.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1436.05
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 147.52,
              "estimated_amount": 147.52
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 571.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1994.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 553.2,
              "estimated_amount": 553.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1699.76
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2611
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2219.35
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1958.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2141.02
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2164.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2289.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1650.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2141.02
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 147.52,
              "estimated_amount": 147.52
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 147.52,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 154.9,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2219.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1676.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1676.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1994.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 553.2,
              "estimated_amount": 553.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 553.2,
              "estimated_amount": 553.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2112.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1449.11
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 147.52,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 147.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1676.26
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1906.03
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2219.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1650.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2141.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2141.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2141.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2141.02
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2164.52
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 147.52,
              "estimated_amount": 147.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1650.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1436.05
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 147.52,
              "estimated_amount": 147.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1676.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1676.26
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 147.52,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 154.9,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2219.35
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 2297.68
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2219.35
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 147.52,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 147.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1449.11
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1958.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1994.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1994.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 553.2,
              "estimated_amount": 553.2
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1906.03
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1906.03
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1436.05
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 147.52,
              "estimated_amount": 147.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 553.2,
              "estimated_amount": 553.2
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2219.35
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2219.35
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 215.56,
              "estimated_amount": 215.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1994.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1676.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1699.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1699.76
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1906.03
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2219.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2141.02
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 147.52,
              "estimated_amount": 147.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1676.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 553.2,
              "estimated_amount": 553.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1699.76
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1906.03
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 712.8
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2219.35
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2219.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1676.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 553.2,
              "estimated_amount": 553.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 553.2,
              "estimated_amount": 553.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 553.2,
              "estimated_amount": 553.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1449.11
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2219.35
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1723.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1650.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1650.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1436.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 147.52,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 149,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 147.52,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 149,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 147.52,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 149,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1650.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 147.52,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 149,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1958.25
            }
          ],
          "minimum": 147.52,
          "maximum": 553.2
        }
      ]
    },
    {
      "description": "HC Decalcification",
      "code_information": [
        {
          "code": "PX-31000065",
          "type": "CDM"
        },
        {
          "code": "88311",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 234,
          "discounted_cash": 152.1,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 147.89
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 191.88
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 205.92
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 198.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 178.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 31.76,
              "estimated_amount": 31.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 31.76,
              "estimated_amount": 31.76
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 198.9
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 175.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 150.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 31.76,
              "estimated_amount": 31.76
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 170.82
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 234,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 128.7
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 193.99
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 191.88
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 128.7
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 234,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.8,
              "estimated_amount": 5.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 31.76,
              "estimated_amount": 31.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 31.76,
              "estimated_amount": 31.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 152.33
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 152.1
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 154.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 150.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 31.76,
              "estimated_amount": 31.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 31.76,
              "estimated_amount": 31.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 31.76,
              "estimated_amount": 31.76
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 129.87
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 198.9
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 198.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 234,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 234,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 234,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 147.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 205.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 147.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 147.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 147.89
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 128.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 128.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 31.76,
              "estimated_amount": 31.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 150.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 178.78
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 189.31
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 170.82
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 234,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 198.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 234,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 193.99
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 234,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 147.89
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 234,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 234,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 234,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 170.82
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 198.9
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 198.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 178.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 178.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 150.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 152.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 205.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 191.88
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 128.7
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 234,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 191.88
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 128.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 128.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 234,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 198.9
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 198.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 150.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 31.76,
              "estimated_amount": 31.76
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 198.9
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 198.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 150.23
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 234
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 234,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 234,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 150.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 150.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 152.33
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 170.82
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 129.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 150.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 178.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 31.76,
              "estimated_amount": 31.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 31.76,
              "estimated_amount": 31.76
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 234,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 150.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 150.23
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 170.82
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 234,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 198.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 31.76,
              "estimated_amount": 31.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 31.76,
              "estimated_amount": 31.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 31.76,
              "estimated_amount": 31.76
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 63.88
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 175.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 234,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 147.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 147.89
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 191.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 191.88
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 193.99
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 234,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 150.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 31.76,
              "estimated_amount": 31.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 152.33
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 170.82
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.8,
              "estimated_amount": 5.8
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.8,
              "estimated_amount": 5.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 178.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 31.76,
              "estimated_amount": 31.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 152.33
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 189.31
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 129.87
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 198.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 191.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 191.88
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 234,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 234,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 175.5
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 198.9
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 129.87
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 234,
              "additional_payer_notes": "OPPS APC"
            }
          ],
          "minimum": 5.8,
          "maximum": 31.76
        }
      ]
    },
    {
      "description": "HC Xr Ribs Bilateral W Cxr 4 + Vw",
      "code_information": [
        {
          "code": "PX-32000031",
          "type": "CDM"
        },
        {
          "code": "71111",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 642,
          "discounted_cash": 417.3,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 405.74
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 353.1
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 100.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 642,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 564.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 642,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 642,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 417.94
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 642,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 412.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 412.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 417.94
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 468.66
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 545.7
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 545.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 405.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 563.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 405.74
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 526.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 526.44
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 642,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 468.66
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 468.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 642,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 353.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 353.1
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 532.22
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 96.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 96.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 642,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 412.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 490.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 490.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 412.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 642,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 642,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 642,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 468.66
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 642
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 405.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 405.74
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 353.1
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 545.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 405.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 405.74
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 545.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 412.16
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 642,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 412.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 490.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 412.16
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 175.27
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 545.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 526.44
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 532.22
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 100.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 545.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 526.44
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 481.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 642,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 642,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 519.38
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 519.38
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 468.66
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 356.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 412.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 642,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 468.66
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 545.7
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 481.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 353.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 526.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 642,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 356.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 642,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 642,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 356.31
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 417.3
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 423.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 526.44
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 96.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 96.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 563.03
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 353.1
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 532.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 412.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 412.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 412.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 490.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 642,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 642,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 481.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 356.31
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 545.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 526.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 526.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 353.1
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 100.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 642,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 100.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 490.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 642,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 642,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 545.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 412.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 490.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 642,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 417.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 417.94
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 545.7
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 545.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 405.74
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 96.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 545.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 417.94
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 545.7
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 545.7
            }
          ]
        }
      ]
    },
    {
      "description": "HC Xr Clavicle Complete",
      "code_information": [
        {
          "code": "PX-32000061",
          "type": "CDM"
        },
        {
          "code": "73000",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 295,
          "discounted_cash": 191.75,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 258.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 241.9
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 83.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 189.39
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 250.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 163.73
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 79.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 241.9
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 79.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 295,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 241.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 162.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 79.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 79.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 238.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 192.05
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 250.75
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 80.54
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 250.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 189.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 189.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 295,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 250.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 186.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 162.25
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 83.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 250.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 241.9
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 79.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 295,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 221.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 189.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 295,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 215.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 225.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 295,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 79.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 163.73
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 250.75
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 295,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 186.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 241.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 186.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 186.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 162.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 162.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 79.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 189.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 225.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 295,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 295,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 225.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 295,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 192.05
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 250.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 221.25
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 221.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 186.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 186.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 241.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 80.1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 258.72
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 162.25
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 83.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 225.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 189.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 295,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 295,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 238.66
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 215.35
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 163.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 295,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 295,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 215.35
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 194.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 80.1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 80.1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 295,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 186.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 162.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 80.1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 80.1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 79.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 189.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 189.39
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 83.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 250.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 295,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 250.75
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 250.75
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 250.75
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 250.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 189.39
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 192.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 192.05
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 295
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 163.73
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 79.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 244.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 225.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 189.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 295,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 295,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 215.35
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 79.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 295,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 186.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 241.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 241.9
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 250.75
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 259.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 189.39
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 215.35
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 250.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 189.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 295,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 295,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 191.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 162.25
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 244.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 225.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 295,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 295,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 192.05
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 215.35
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 244.56
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 295,
              "additional_payer_notes": "ALL OTHER OP"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Xr Ac Joints Bilateral",
      "code_information": [
        {
          "code": "PX-32000066",
          "type": "CDM"
        },
        {
          "code": "73050",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 329,
          "discounted_cash": 213.85,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 207.93
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 79.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 329,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 266.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 329,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 329,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 279.65
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 329,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 207.93
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 269.78
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 180.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 80.1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 83.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 288.53
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 79.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 83.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 279.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 251.36
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 182.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 182.6
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 279.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 246.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 251.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 329,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 214.18
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 329,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 207.93
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 329,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 269.78
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 79.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 251.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 211.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 329,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 214.18
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 79.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 182.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 329
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 279.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 246.75
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 279.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 211.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 329,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 214.18
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 279.65
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 79.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 180.95
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 279.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 211.22
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 266.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 214.18
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 240.17
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 279.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 251.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 211.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 329,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 272.74
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 272.74
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 83.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 279.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 269.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 269.78
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 80.1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 80.1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 79.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 79.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 251.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 251.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 329,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 214.18
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 279.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 211.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 329,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 329,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 240.17
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 89.82
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 279.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 269.78
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 180.95
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 329,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 207.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 211.22
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 217.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 211.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 211.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 329,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 79.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 207.93
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 80.1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 272.74
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 246.75
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 79.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 279.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 211.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 211.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 329,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 240.17
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 240.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 207.93
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 269.78
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 83.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 289.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 288.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 207.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 207.93
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 180.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 80.1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 211.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 329,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 329,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 182.6
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 213.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 211.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 329,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 329,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 240.17
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 269.78
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 180.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 180.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 180.95
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 79.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 329,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 279.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 329,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 240.17
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 279.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 269.78
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 329,
              "additional_payer_notes": "OUTPATIENT"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Xr Upper Extremity Infant 2 + Vw",
      "code_information": [
        {
          "code": "PX-32000072",
          "type": "CDM"
        },
        {
          "code": "73092",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 377,
          "discounted_cash": 245.05,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 238.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 309.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 242.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 377,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 377,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 275.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 242.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 377,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 275.21
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 309.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 309.14
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 207.35
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 312.53
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 312.53
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 100.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 238.26
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 288.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 245.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 245.43
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 320.45
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 320.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 242.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 288.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 288.03
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 102.92
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 282.75
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 309.14
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 207.35
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 331.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 242.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 242.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 377,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 209.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 242.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 288.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 377,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 377,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 245.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 309.14
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 207.35
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 100.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 377,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 238.26
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 207.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 377,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 242.03
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 96.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 320.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 238.26
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 207.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 96.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 377,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 242.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 288.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 377,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 245.43
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 209.24
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 282.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 242.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 242.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 377,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 304.99
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 377
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 238.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 238.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 330.63
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 96.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 96.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 377,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 209.24
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 209.24
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 320.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 242.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 242.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 377,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 275.21
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 275.21
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 320.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 238.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 309.14
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 100.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 377,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 320.45
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 320.45
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 320.45
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 248.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 377,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 377,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 245.43
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 320.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 207.35
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 320.45
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 320.45
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 377,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 320.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 377,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 377,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 245.43
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 377,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 288.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 304.99
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 275.21
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 275.21
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 377,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 320.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 330.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 309.14
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 207.35
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 312.53
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 377,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 377,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 320.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 238.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 309.14
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 96.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 100.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 282.75
            }
          ]
        }
      ]
    },
    {
      "description": "HC Xr Fingers 2 + Vw",
      "code_information": [
        {
          "code": "PX-32000078",
          "type": "CDM"
        },
        {
          "code": "73140",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 253,
          "discounted_cash": 164.45,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 159.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 80.1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 253,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 140.42
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 140.42
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 189.75
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 215.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 221.88
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 209.74
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 209.74
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 83.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 159.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 207.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 207.46
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 215.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 162.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 193.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 162.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 162.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 162.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 253,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 253,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 204.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 164.7
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 184.69
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 79.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 215.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 193.29
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 69.07
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 215.05
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 253,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 159.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 207.46
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 80.1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 79.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 253,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 139.15
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 83.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 253,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 164.7
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 184.69
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 184.69
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 189.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 162.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 253,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 159.9
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 79.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 79.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 189.75
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 253,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 215.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 162.43
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 215.05
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 215.05
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 215.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 162.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 253,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 164.7
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 140.42
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 215.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 159.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 207.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 207.46
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 215.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 159.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 253,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 253,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 164.7
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 215.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 162.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 253,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 253,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 253,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 164.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 207.46
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 139.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 80.1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 83.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 207.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 193.29
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 184.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 162.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 253,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 159.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 207.46
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 79.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 79.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 83.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 215.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 139.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 139.15
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 184.69
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 79.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 79.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 215.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 193.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 193.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 253,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 159.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 139.15
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 79.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 253,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 221.88
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 139.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 139.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 193.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 162.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 253,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 204.68
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 184.69
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 253,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 215.05
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 166.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 162.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 253,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 253,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 253,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 164.7
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 140.42
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 209.74
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 79.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 253,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 80.1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 222.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 162.43
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 253
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 80.1,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Xr Foot Complete 3 + Vw",
      "code_information": [
        {
          "code": "PX-32000097",
          "type": "CDM"
        },
        {
          "code": "73630",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 375,
          "discounted_cash": 243.75,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 237
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 328.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 307.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 307.5
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 318.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 375,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 375,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 244.13
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 208.13
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 208.13
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 318.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 237
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 237
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 206.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 240.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 375,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 375,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 79.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 102.38
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 247.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 286.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 240.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 240.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 240.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 375,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 375,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 310.88
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 375,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 318.75
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 281.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 237
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 79.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 240.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 375,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 375,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 243.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 240.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 240.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 244.13
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 318.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 237
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 310.88
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 318.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 307.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 79.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 83.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 83.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 240.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 303.38
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 273.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 307.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 206.25
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 310.88
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 79.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 273.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 281.25
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 281.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 286.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 318.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 328.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 307.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 79.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 79.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 237
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 307.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 240.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 286.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 375,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 375,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 375,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 330
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 208.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 286.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 240.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 240.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 375,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 79.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 318.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 206.25
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 79.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 79.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 237
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 206.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 80.1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 83.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 318.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 244.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 244.13
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 273.75
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 79.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 375,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 286.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 240.75
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 273.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 206.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 80.1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 80.1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 375,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 375,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 237
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 307.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 206.25
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 375,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 286.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 208.13
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 318.75
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 318.75
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 318.75
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 318.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 375,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 375,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 375,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 303.38
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 273.75
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 318.75
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 318.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 307.5
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 80.1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 375,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 375,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 375,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 244.13
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 273.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 375
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 206.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 80.1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 83.28,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Xr Small Intestine Single Contrast Study",
      "code_information": [
        {
          "code": "PX-32000114",
          "type": "CDM"
        },
        {
          "code": "74250",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 661,
          "discounted_cash": 429.65,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 417.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 161.96,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 547.97
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 168.38,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 661,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 424.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 424.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 661,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 561.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 424.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 505
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 424.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 661,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 661,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 430.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 534.75
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 482.53
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 366.86
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 661,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 363.55
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 160.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 417.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 542.02
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 561.85
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 581.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 424.36
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 482.53
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 561.85
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 482.53
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 561.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 417.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 579.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 417.75
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 160.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 161.96,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 547.97
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 547.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 505
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 424.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 661,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 661,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 366.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 424.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 661,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 661,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 661,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 561.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 417.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 579.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 542.02
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 363.55
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 160.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 661,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 168.38,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 430.31
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 661
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 561.85
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 436.26
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 168.12,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 561.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 417.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 542.02
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 363.55
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 168.38,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 561.85
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 161.96,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 424.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 661,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 482.53
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 366.86
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 495.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 424.36
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 430.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 168.12,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 429.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 542.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 542.02
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 161.96,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 661,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 363.55
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 160.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 505
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 661,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 534.75
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 168.12,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 424.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 661,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 542.02
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 160.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 561.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 542.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 542.02
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 363.55
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 160.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 505
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 661,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 482.53
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 561.85
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 561.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 661,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 661,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 482.53
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 561.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 363.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 161.96,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 417.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 363.55
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 160.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 561.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 424.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 505
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 505
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 661,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 661,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 424.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 661,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 430.31
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 366.86
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 561.85
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 495.75
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 168.38,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 661,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 661,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 430.31
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 180.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 417.75
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 495.75
            }
          ]
        }
      ]
    },
    {
      "description": "HC Xr Colon Double Contrast Study",
      "code_information": [
        {
          "code": "PX-32000117",
          "type": "CDM"
        },
        {
          "code": "74280",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 890,
          "discounted_cash": 578.5,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 562.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 562.48
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 729.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 729.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 489.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 571.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 890,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 720.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 571.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 890,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 756.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 489.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 161.96,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 756.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 729.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 161.96,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 168.38,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 168.38,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 679.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 571.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 890,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 493.95
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 493.95
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 756.5
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 756.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 571.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 890,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 579.39
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 649.7
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 160.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 160.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 729.8
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 737.81
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 160.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 161.96,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 168.38,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 890,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 756.5
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 756.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 679.96
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 579.39
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 579.39
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 720.01
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 493.95
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 890
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 737.81
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 161.96,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 489.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 156.97,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 160.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 890,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 679.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 571.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 571.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 571.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 890,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 756.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 562.48
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 160.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 562.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 562.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 780.53
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 489.5
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 890,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 168.38,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 756.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 571.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 679.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 890,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 890,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 756.5
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 578.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 579.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 729.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 729.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 729.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 489.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 489.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 737.81
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 156.97,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 890,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 890,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 890,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 890,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 649.7
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 160.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 890,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 890,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 890,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 756.5
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 587.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 780.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 562.48
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 729.8
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 667.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 571.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 890,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 890,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 649.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 679.96
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 579.39
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 649.7
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 493.95
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 756.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 562.48
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 890,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 756.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 161.96,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 562.48
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 156.97,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 890,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 679.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 571.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 890,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 890,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 667.5
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 667.5
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 756.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 571.38
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 649.7
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 242.97
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 489.5
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 756.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 571.38
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 649.7
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 160.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 783.2
            }
          ]
        }
      ]
    },
    {
      "description": "HC Venocavagram Superior",
      "code_information": [
        {
          "code": "PX-32000154",
          "type": "CDM"
        },
        {
          "code": "75827",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1562,
          "discounted_cash": 1015.3,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1369.87
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1280.84
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1411.77,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1294.9
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1467.69,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1327.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1002.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1002.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1562,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 866.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1002.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1002.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1016.86
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1397.8,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1327.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 987.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 987.18
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 859.1
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1397.8,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 342.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 987.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1280.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1280.84
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1397.8,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1397.8,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1002.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1562,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1140.26
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1327.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1002.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1562,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1562,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1140.26
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1562
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1327.7
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1171.5
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1397.8,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 859.1
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1327.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1002.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1562,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 866.91
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1016.86
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1140.26
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1171.5
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1562,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1280.84
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1397.8,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1467.69,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1562,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1411.77,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1397.8,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1140.26
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 426.43
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1030.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1002.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1002.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1002.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1562,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1140.26
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 866.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 987.18
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 859.1
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1467.69,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1411.77,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 859.1
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1397.8,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1562,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1002.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1562,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1327.7
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1327.7
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1327.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1369.87
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1411.77,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1327.7
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1562,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 859.1
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1467.69,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1193.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1562,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1562,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1327.7
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1327.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1562,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 987.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1280.84
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1171.5
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1327.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1193.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1002.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1562,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1016.86
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1140.26
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1397.8,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1562,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1016.86
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1397.8,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1327.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 987.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 987.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1280.84
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1411.77,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1562,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1280.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1280.84
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 859.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 859.1
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1294.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1193.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1193.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1562,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1562,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1562,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1562,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 1015.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1193.37
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1263.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1263.66
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 866.91
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1562,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1327.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 987.18
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1294.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1193.37
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1016.86
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1374.56
            }
          ]
        }
      ]
    },
    {
      "description": "HC Distal Exten Prosth Descending Thoracic Aorta",
      "code_information": [
        {
          "code": "PX-32000180",
          "type": "CDM"
        },
        {
          "code": "75959",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1469,
          "discounted_cash": 954.85,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 928.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1204.58
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 807.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 807.95
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1101.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 943.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1469,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1248.65
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 969.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 943.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 943.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1288.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1122.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 956.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1188.42
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 815.3
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1248.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1101.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1122.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1122.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1122.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 943.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1469,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1469,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1072.37
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 928.41
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 807.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 943.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 943.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1469,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1469,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1469,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1072.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 943.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1469,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 956.32
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 401.04
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1248.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 928.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1204.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1204.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1204.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1469,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 815.3
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1248.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 943.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1122.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 943.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1188.42
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1072.37
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 815.3
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1248.65
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1248.65
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1248.65
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1292.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 928.41
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1217.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 956.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 956.32
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1248.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1469,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1204.58
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 807.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 807.95
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1217.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 943.1
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1248.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 956.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 943.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1469,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1469,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1469,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1469,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 928.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1204.58
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1248.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1469,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1469,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 954.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1469,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1469
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 928.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 928.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1204.58
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1248.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1204.58
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 807.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 807.95
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1217.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1122.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 943.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1469,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 815.3
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1248.65
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1072.37
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1072.37
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1101.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 928.41
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1072.37
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1288.31
            }
          ]
        }
      ]
    },
    {
      "description": "HC Rad Exam Surgical Specimen",
      "code_information": [
        {
          "code": "PX-32000196",
          "type": "CDM"
        },
        {
          "code": "76098",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 967,
          "discounted_cash": 628.55,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 611.14
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 531.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 738.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 620.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 967,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 481.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 821.95
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 821.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 967,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 705.91
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 705.91
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 481.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 725.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 611.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 611.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 792.94
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 531.85
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 481.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 486.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 486.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 471.32,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 471.32,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 801.64
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 801.64
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 821.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 967,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 967,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 967,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 620.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 620.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 620.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 620.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 967,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 967,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 967,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 629.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 629.52
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 536.69
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 536.69
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 486.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 481.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 531.85
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 471.32,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 486.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 505.57,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 967,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 620.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 738.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 620.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 967,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 738.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 967,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 629.52
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 821.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 792.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 792.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 611.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 611.14
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 531.85
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 801.64
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 481.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 620.81
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 481.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 263.99
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 821.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 620.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 967,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 967,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 629.52
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 536.69
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 821.95
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 638.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 611.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 611.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 848.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 611.14
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 531.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 486.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 821.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 821.95
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 628.55
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 821.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 967,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 967,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 821.95
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 821.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 738.79
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 505.57,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 967,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 967,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 782.3
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 821.95
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 967,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 531.85
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 481.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 967,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 821.95
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 725.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 792.94
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 505.57,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 850.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 620.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 629.52
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 705.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 620.81
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 705.91
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 967
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 725.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 792.94
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 505.57,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 967,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 848.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 792.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 792.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 792.94
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 967,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 967,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 821.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 620.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 967,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 782.3
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 705.91
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 536.69
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 531.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 738.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 738.79
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 705.91
            }
          ]
        }
      ]
    },
    {
      "description": "HC Fluoro Central Venous Access Placement",
      "code_information": [
        {
          "code": "PX-32000201",
          "type": "CDM"
        },
        {
          "code": "77001",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 584,
          "discounted_cash": 379.6,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 369.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 369.09
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 478.88
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 584,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 584,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 496.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 374.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 374.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 584,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 584,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 380.18
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 496.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 380.18
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 321.2
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 584,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 484.14
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 438
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 478.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 478.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 478.88
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 484.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 374.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 446.18
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 584,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 496.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 374.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 446.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 446.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 446.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 584,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 584,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 584,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 426.32
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 324.12
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 584,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 385.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 369.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 369.09
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 584,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 584,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 513.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 512.17
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 584,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 584,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 374.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 446.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 374.93
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 426.32
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 584
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 496.4
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 496.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 374.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 584,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 584,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 584,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 478.88
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 584,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 584,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 584,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 496.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 374.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 584,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 380.18
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 426.32
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 324.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 369.09
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 478.88
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 584,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 584,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 374.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 584,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 584,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 496.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 374.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 584,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 584,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 584,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 512.17
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 478.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 478.88
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 321.2
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 584,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 584,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 369.09
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 584,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 380.18
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 472.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 380.18
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 379.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 584,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 321.2
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 496.4
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 496.4
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 584,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 584,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 584,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 374.93
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 426.32
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 159.43
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 496.4
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 496.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 374.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 584,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 324.12
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 496.4
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 438
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 438
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 369.09
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 321.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 584,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 369.09
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 321.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 321.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 484.14
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 584,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 446.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 584,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 584,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 584,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 324.12
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 584,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 472.46
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 426.32
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 496.4
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 426.32
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 496.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 321.2
            }
          ]
        }
      ]
    },
    {
      "description": "HC Fluoro Guided Spinal Injection",
      "code_information": [
        {
          "code": "PX-32000203",
          "type": "CDM"
        },
        {
          "code": "77003",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 329,
          "discounted_cash": 213.85,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 207.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 207.93
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 180.95
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 329,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 289.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 251.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 211.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 329,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 329,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 266.16
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 279.65
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 279.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 211.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 211.22
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 279.65
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 217.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 269.78
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 180.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 207.93
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 269.78
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 180.95
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 329,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 329,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 329,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 329,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 329,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 214.18
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 240.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 207.93
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 180.95
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 329,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 329,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 279.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 269.78
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 214.18
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 329
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 279.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 246.75
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 329,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 251.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 329,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 288.53
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 269.78
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 279.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 329,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 240.17
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 279.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 246.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 211.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 211.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 329,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 329,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 240.17
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 329,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 213.85
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 279.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 207.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 207.93
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 269.78
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 329,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 269.78
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 180.95
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 272.74
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 329,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 329,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 329,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 279.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 251.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 251.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 329,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 329,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 214.18
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 240.17
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 182.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 211.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 329,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 266.16
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 279.65
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 329,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 207.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 207.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 288.53
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 329,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 251.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 211.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 251.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 329,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 214.18
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 240.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 211.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 211.22
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 182.6
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 329,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 180.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 329,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 329,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 272.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 329,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 329,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 279.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 211.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 211.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 329,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 214.18
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 182.6
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 279.65
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 329,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 279.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 269.78
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 329,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 329,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 329,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 329,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 269.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 211.22
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 329,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 329,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 182.6
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 89.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 180.95
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 279.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 329,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 329,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 329,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 240.17
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 272.74
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 246.75
            }
          ]
        }
      ]
    },
    {
      "description": "HC Therapeutic Radiation Simulation Simple",
      "code_information": [
        {
          "code": "PX-33300001",
          "type": "CDM"
        },
        {
          "code": "77280",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1614,
          "discounted_cash": 1049.1,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1020.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1323.48
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1323.48
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1614,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1036.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1614,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1050.71
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1614
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1178.22
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1371.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1415.48
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1323.48
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 119.61,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 353.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1020.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1020.05
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 118.42,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 124.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1036.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1614,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1050.71
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1371.9
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1371.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1233.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1036.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1614,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1614,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1371.9
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 1049.1
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1371.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1020.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1020.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 887.7
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 118.42,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 124.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1371.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1036.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1036.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1614,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1178.22
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1371.9
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1065.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1233.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1233.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1614,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1614,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1178.22
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1614,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1614,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1371.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1323.48
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 887.7
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 118.42,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 119.61,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1338.01
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 119.61,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1614,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1614,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1036.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1614,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1050.71
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 440.62
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1371.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 119.61,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1371.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1323.48
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1371.9
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1371.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1305.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1233.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1036.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1614,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1305.73
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1050.71
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1050.71
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 118.42,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1020.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 887.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 119.61,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 118.42,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1020.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 887.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1614,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1614,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1614,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 895.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1036.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1233.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1036.19
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1338.01
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 118.42,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 118.42,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 118.42,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 124.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1323.48
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 887.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1036.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1614,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1178.22
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 118.42,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1210.5
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1210.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1614,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1178.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1020.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1323.48
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 887.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1415.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1036.19
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 895.77
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 118.42,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1371.9
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1371.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1614,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 895.77
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 887.7
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1338.01
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1614,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1420.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1036.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1233.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1614,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1178.22
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 895.77
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1323.48
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 124.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1210.5
            }
          ]
        }
      ]
    },
    {
      "description": "HC Therapeutic Radiation Simulation 3d",
      "code_information": [
        {
          "code": "PX-33300004",
          "type": "CDM"
        },
        {
          "code": "77295",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 7800,
          "discounted_cash": 5070,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4929.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4929.6
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1269.82,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1209.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1209.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 1708.2
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 7800,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7800,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 2129.4
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 5070
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 5850
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 5959.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7800,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7800,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5077.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5077.8
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6630
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6630
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 6840.6
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 7800,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6630
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6396
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1269.82,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6630
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 5959.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5007.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5077.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4329
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6630
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1209.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6396
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4290
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5007.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7800,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5007.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5007.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7800,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7800,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7800,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 6310.2
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5694
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6630
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4290
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1209.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1269.82,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1269.82,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 6864
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4929.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4290
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4290
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1221.44,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5007.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5007.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7800,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1209.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 5959.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 5959.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7800,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7800,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 7800
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 7800,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4290
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4290
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 6466.2
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 7800,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6630
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6396
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6396
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7800,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 6310.2
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5694
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5694
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7800,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6630
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4929.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6396
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1221.44,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 6466.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4929.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6396
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1221.44,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1209.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5007.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 5959.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7800,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5077.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4329
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1209.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6630
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 7800,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5694
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 5850
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 5148
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 6466.2
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1209.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4929.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 6840.6
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1209.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5694
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7800,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4329
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6630
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1221.44,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 5850
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6396
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6630
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 5959.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5007.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4329
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6630
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6630
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7800,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7800,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5077.8
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5694
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6630
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4290
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1221.44,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5007.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5007.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5007.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5007.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7800,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1209.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4929.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4929.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6396
            }
          ]
        }
      ]
    },
    {
      "description": "HC Radiation Dosimetry Basic",
      "code_information": [
        {
          "code": "PX-33300006",
          "type": "CDM"
        },
        {
          "code": "77300",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2762,
          "discounted_cash": 1795.3,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1745.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1745.58
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 119.61,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2110.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2762,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2016.26
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2016.26
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1532.91
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2347.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2762,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2234.46
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1532.91
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2347.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1745.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2264.84
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1519.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 119.61,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1745.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2264.84
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1519.1
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2289.7
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 118.42,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2347.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1773.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2762,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 118.42,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 754.03
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2071.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2110.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2762,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2234.46
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2347.7
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2762,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1822.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1745.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2264.84
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2289.7
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 604.88
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 118.42,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 124.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2347.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2762,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2762,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2762,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1798.06
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2016.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2110.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2422.27
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2264.84
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1519.1
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2071.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2264.84
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1519.1
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2347.7
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2347.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1773.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2762,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1798.06
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1532.91
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2071.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1773.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1773.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2762
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2347.7
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 1795.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1519.1
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2762,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2422.27
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 119.61,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2762,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2762,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2347.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1773.2
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 118.42,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2347.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2264.84
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1519.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1519.1
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 118.42,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 118.42,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1773.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2762,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2762,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 2430.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1798.06
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2347.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2762,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2762,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1798.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1798.06
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2016.26
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 118.42,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1745.58
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 118.42,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 124.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2264.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1773.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1773.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2762,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2762,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1773.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1773.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1773.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2762,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2347.7
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 119.61,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1745.58
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2289.7
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 118.42,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2762,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2110.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2762,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2016.26
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1532.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1773.2
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2016.26
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 118.42,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 124.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2110.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2110.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2762,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2347.7
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2347.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1745.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2264.84
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 119.61,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 124.35,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Imrt Planning",
      "code_information": [
        {
          "code": "PX-33300007",
          "type": "CDM"
        },
        {
          "code": "77301",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 19984,
          "discounted_cash": 12989.6,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 12629.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 17525.97
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 10991.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1221.44,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 14988
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 19984,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 19984,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 16986.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 12829.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 19984,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 19984,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 14588.32
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 11091.12
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1209.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1209.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 11091.12
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 5455.63
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 19984,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 10991.2
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 16986.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 12829.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 15267.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 12829.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 14588.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 19984,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 16167.06
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 16986.4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 16986.4
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 16986.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 12629.89
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 16386.88
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 10991.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 10991.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1221.44,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1209.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1269.82,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 4376.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 13009.58
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 14588.32
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 11091.12
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1209.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 11091.12
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 16986.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 12829.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 12829.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 15267.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 19984,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 19984,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 19984,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 19984,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 19984,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 16386.88
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1221.44,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1209.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 19984,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 12829.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 19984,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 14588.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 15267.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 12829.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 19984,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 13009.58
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 16986.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 12629.89
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 16386.88
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1209.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 12629.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 12629.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 17525.97
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 16386.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 16386.88
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1209.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1209.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1209.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 12829.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 12829.73
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 12989.6
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 13189.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 10991.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 16566.74
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 19984,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 19984,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 17585.92
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 16986.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 13009.58
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 14588.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 12829.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 15267.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 12629.89
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 16386.88
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 16566.74
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 19984,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 16986.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 12629.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 12629.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 19984,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 19984,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 16167.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 13009.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 13009.58
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 16986.4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 16986.4
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 16986.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 19984,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 19984,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 14588.32
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 14988
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1209.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1269.82,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1269.82,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 16986.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 10991.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 16566.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 15267.78
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 19984
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 12829.73
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 16386.88
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 10991.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1221.44,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1221.44,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 12829.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 15267.78
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 16986.4
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 19984,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 14988
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 16386.88
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1269.82,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Special Teletherapy Port Plan",
      "code_information": [
        {
          "code": "PX-33300011",
          "type": "CDM"
        },
        {
          "code": "77321",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 7728,
          "discounted_cash": 5023.2,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 6777.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 6777.46
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5641.44
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 7728
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4289.04
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 5023.2
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6568.8
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6568.8
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6568.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4250.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4961.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4961.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4961.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 5904.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7728,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 322.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 322.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 5904.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7728,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 5100.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4884.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 325.71,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 322.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 325.71,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 7728,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 6800.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4884.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4884.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6336.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4961.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7728,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5030.93
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5641.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4961.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4961.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 5904.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4961.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 5904.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5030.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5030.93
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6568.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6336.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4250.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4884.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4250.4
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 322.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 338.61,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6568.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4961.38
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4289.04
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4289.04
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6568.8
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6568.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7728,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7728,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5641.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4250.4
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 338.61,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 1692.43
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 7728,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6336.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4250.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7728,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7728,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5030.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5030.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 6251.95
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 322.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7728,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6568.8
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 2109.74
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 7728,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4884.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 325.71,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 325.71,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6568.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6336.96
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 322.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 338.61,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 322.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4961.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7728,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7728,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7728,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4289.04
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6568.8
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 5796
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7728,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6568.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4884.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 325.71,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 6406.51
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 338.61,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7728,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 6251.95
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5641.44
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 7728,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 5904.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4961.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7728,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4884.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6336.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6336.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4250.4
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 6406.51
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 322.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 7728,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6336.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 6406.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 5904.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7728,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7728,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6568.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4961.38
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5641.44
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5641.44
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 5796
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4884.1
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 322.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6568.8
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 5796
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4961.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7728,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6568.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6336.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4250.4
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 322.49,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Special Treatment Procedure",
      "code_information": [
        {
          "code": "PX-33300034",
          "type": "CDM"
        },
        {
          "code": "77470",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 4220,
          "discounted_cash": 2743,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2667.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2321
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2321
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 518.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 924.18
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 3713.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3224.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4220,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4220,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2709.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2709.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4220,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4220,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2342.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3700.94
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 513.77,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2667.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2667.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2321
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 513.77,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4220,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2709.24
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 513.77,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1152.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2709.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4220,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4220,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3587
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2667.04
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 513.77,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3460.4
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 518.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3587
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3587
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3224.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3224.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2709.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4220,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3080.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2342.1
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4220,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3413.98
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3080.6
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 513.77,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3460.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2321
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 539.46,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3460.4
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 513.77,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 539.46,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4220,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2709.24
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3080.6
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3587
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 2785.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3224.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4220,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2342.1
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3165
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2667.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2321
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 518.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3165
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3460.4
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 513.77,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3587
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3224.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3224.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2747.22
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2747.22
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 4220
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3587
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 2743
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3587
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2709.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2709.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4220,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4220,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2321
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2667.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3700.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2667.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3460.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3460.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2709.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4220,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3587
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4220,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2747.22
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3587
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3587
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3080.6
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 513.77,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4220,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2667.04
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 518.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 539.46,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4220,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3460.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 518.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2709.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4220,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4220,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4220,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4220,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3413.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2342.1
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3165
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4220,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3080.6
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3587
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3587
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3460.4
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3498.38
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3498.38
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 513.77,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 539.46,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2709.24
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3587
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2747.22
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2747.22
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3080.6
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3587
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3498.38
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 513.77,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2709.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2321
            }
          ]
        }
      ]
    },
    {
      "description": "Catheter Silicone Elastomer 16 Fr 30 Ml 3 Way",
      "code_information": [
        {
          "code": "PX-CH-MZDYND11800",
          "type": "CDM"
        },
        {
          "code": "A4346",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 6.25,
          "discounted_cash": 4.06,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.25,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4.07
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.25,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.44
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 5.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.13
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.44
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.31
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.25,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 5.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 5.06
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4.69
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.78
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.56
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.78
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4.07
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 4.13
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.13
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.25,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.25,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.01
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.47
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.44
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 5.18
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.25,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.31
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.78
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.56
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.25,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.25,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4.69
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4.07
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1.71
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.25,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4.07
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 5.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 5.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.25,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.47
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.25,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 4.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.13
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 5.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.25,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.25,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.25,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.25,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.25,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 6.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.13
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.13
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 5.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.25,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.56
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.31
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4.69
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.31
            }
          ]
        }
      ]
    },
    {
      "description": "Tumor or Inflam Process Localization Spect Single Area 1 Day",
      "code_information": [
        {
          "code": "PX-34100070",
          "type": "CDM"
        },
        {
          "code": "78803",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 3902,
          "discounted_cash": 2536.3,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2466.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3199.64
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1251.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3234.76
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3902,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3902,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3902,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2540.2
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3316.7
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1065.25
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 2536.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2505.08
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2165.61
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2926.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3199.64
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1239.32,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2466.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3199.64
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2165.61
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1239.32,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2505.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2505.08
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2848.46
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3316.7
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 2575.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3199.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3199.64
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2146.1
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 854.54
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3316.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3199.64
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2146.1
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1239.32,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1301.29,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2505.08
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2848.46
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 3902
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3316.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2540.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2146.1
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2926.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2466.06
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2146.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2146.1
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1301.29,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3902,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3902,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3902,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2165.61
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3316.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2540.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2540.2
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2848.46
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2926.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3422.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1251.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1239.32,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 3433.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2466.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3422.05
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1239.32,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1239.32,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1301.29,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2505.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2505.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3902,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2505.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2981.13
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2848.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2466.06
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2146.1
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3316.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3199.64
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2146.1
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1239.32,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2505.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2981.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2981.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2505.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3902,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3156.72
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3316.7
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3316.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2505.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3902,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3902,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3902,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3902,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3902,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3902,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3316.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2466.06
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1251.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3316.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2981.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3902,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2505.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3902,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1239.32,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3316.7
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3902,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1239.32,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3316.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2466.06
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3234.76
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3902,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2981.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3902,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3902,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2165.61
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1239.32,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2981.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3902,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3156.72
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2540.2
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2848.46
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3316.7
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3316.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1251.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1301.29,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1251.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2505.08
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2848.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2466.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3199.64
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3234.76
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3902,
              "additional_payer_notes": "OUTPATIENT"
            }
          ]
        }
      ]
    },
    {
      "description": "HC CT Guided Needle Placement",
      "code_information": [
        {
          "code": "PX-35000005",
          "type": "CDM"
        },
        {
          "code": "77012",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1231,
          "discounted_cash": 800.15,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 901.09
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1009.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 677.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 677.05
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1231,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 923.25
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1046.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1231,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1231,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1231,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 336.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 906.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 940.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1231,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.5,
              "estimated_amount": 904.79
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1046.35
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1046.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1009.42
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1231,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1231,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1046.35
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1046.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1079.59
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1231,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1231,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 995.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 906.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 906.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 940.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1231,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1231,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 901.09
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1009.42
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1231,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1231,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1009.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 906.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1231,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 898.63
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1046.35
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 800.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 906.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1231,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1231,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 801.38
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1231
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 923.25
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1046.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 677.05
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1231,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1083.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1009.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 677.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1231,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 898.63
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1231,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 906.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1231,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 898.63
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1231,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1046.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 901.09
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1009.42
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1231,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1231,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1231,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1079.59
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 677.05
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1020.5
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1231,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1231,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 940.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 940.48
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 898.63
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 812.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 901.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 901.09
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1231,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1231,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1046.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 901.09
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 677.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 906.02
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1231,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 801.38
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 898.63
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.5,
              "estimated_amount": 904.79
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1046.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 906.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1231,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 801.38
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 898.63
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1046.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1009.42
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1231,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 901.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 940.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 906.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1231,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1231,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1231,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 801.38
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.5,
              "estimated_amount": 904.79
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1046.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1231,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.5,
              "estimated_amount": 904.79
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1046.35
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1231,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1046.35
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1231,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1231,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 269.59
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1020.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 906.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 906.02
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 923.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 906.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1231,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 801.38
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1231,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 901.09
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1009.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 677.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 940.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 995.88
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1020.5
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1231,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "HC CT Thoracic Spine W Contrast",
      "code_information": [
        {
          "code": "PX-35200009",
          "type": "CDM"
        },
        {
          "code": "72129",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1345,
          "discounted_cash": 874.25,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 984.54
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1345,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1027.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1027.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 989.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1345,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1345,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 875.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.5,
              "estimated_amount": 988.58
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1143.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 989.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1345,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 160.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1143.25
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1008.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1179.57
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1102.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 739.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 161.96,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 294.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 989.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 989.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1345,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1088.11
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 160.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 989.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 989.92
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 981.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.5,
              "estimated_amount": 988.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1102.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 739.75
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 168.38,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 160.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1102.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 739.75
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 160.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 168.38,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 989.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1345,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1345,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1143.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1027.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 989.92
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 981.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1143.25
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1143.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1102.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1102.9
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1143.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1102.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 739.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 161.96,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 160.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 160.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1143.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1027.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 989.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1027.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1345,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 875.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.5,
              "estimated_amount": 988.58
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1143.25
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1345,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1345,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1345,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1345,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 981.85
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 367.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 984.54
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 739.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 739.75
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1115.01
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1183.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 984.54
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1115.01
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 160.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1345,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1088.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 875.6
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 887.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 989.92
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 875.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.5,
              "estimated_amount": 988.58
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1143.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 739.75
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 160.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 168.38,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 984.54
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1345,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1345,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 981.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1027.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1345,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 984.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 984.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1102.9
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1115.01
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1008.75
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1143.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1102.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 161.96,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 161.96,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 989.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 989.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1345,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1345,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 160.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 981.85
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1345,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 874.25
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1143.25
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1008.75
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 161.96,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1345,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 168.38,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 984.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1345,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1345,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 875.6
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 981.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1345
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1143.25
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1143.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1179.57
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 160.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1143.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 984.54
            }
          ]
        }
      ]
    },
    {
      "description": "HC Injection Sinus Tract Dx",
      "code_information": [
        {
          "code": "PX-36100077",
          "type": "CDM"
        },
        {
          "code": "20501",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 5795,
          "discounted_cash": 3766.75,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3662.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4751.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4751.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3187.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3187.25
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4925.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4688.16
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5795,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4925.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3720.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5795,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5795,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3662.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3187.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5795,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 1269.11
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5795,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5795,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 5099.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3720.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3720.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5795,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5795,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5795,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4230.35
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4230.35
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4230.35
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5795,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3720.39
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3772.55
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5795,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4925.75
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5795,
              "additional_payer_notes": " ASC LISTED"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 5082.22
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4804.06
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5795,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5795,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5795,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5795,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4925.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3720.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3720.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5795,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4230.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4427.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5795,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5795,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4688.16
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5795,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3662.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3187.25
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4804.06
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4925.75
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4346.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3662.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3187.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3187.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3720.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4427.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5795,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1582.04
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4925.75
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4925.75
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 3766.75
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4925.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3720.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5795,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5795,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4230.35
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5795,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4346.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4751.9
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5795,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 5082.22
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4804.06
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5795,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5795,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5795,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3772.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3772.55
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4925.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3720.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5795,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5795,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4925.75
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4925.75
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 3824.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3662.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4751.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3187.25
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5795,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5795,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4751.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3720.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5795,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5795,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3720.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4427.38
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3772.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4751.9
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5795,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4925.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3662.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3662.44
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5795,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5795,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4925.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4346.25
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5795,
              "additional_payer_notes": " ASC LISTED"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3662.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4751.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5795,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5795,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5795,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5795,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4427.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3720.39
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5795,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4925.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4427.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4427.38
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3772.55
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4230.35
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5795,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4751.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5795,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5795,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Rem FB Muscle or Tendon Sheath Simple",
      "code_information": [
        {
          "code": "PX-36100078",
          "type": "CDM"
        },
        {
          "code": "20520",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 4115,
          "discounted_cash": 2674.75,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2600.68
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2263.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2263.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2263.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2641.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4115,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3497.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2641.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2641.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4115,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3497.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3608.86
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3497.75
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3497.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2600.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3374.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2263.25
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 3621.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3143.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2641.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4115,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2678.87
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4115,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3497.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2600.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3374.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2263.25
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3497.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4115,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4115,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4115,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4115,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3497.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3143.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3143.86
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3003.95
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3086.25
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 2674.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3608.86
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3411.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2600.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2641.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3143.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4115,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3497.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3143.86
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2678.87
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4115,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 2715.9
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3497.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3374.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2641.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4115,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4115,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4115,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3497.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4115,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4115,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4115,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4115,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2600.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2600.68
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3411.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3374.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2641.83
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3003.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3143.86
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3086.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3374.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2263.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2641.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4115,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2678.87
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3003.95
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3003.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2641.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2641.83
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3329.04
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3003.95
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4115,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3497.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3086.25
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3497.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2600.68
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3411.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2600.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3374.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4115,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2678.87
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1123.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2641.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4115,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4115,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2678.87
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3003.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3374.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2263.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2641.83
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3329.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3374.3
            }
          ]
        }
      ]
    },
    {
      "description": "HC Inj Trigger Point 3 or More Muscles",
      "code_information": [
        {
          "code": "PX-36100083",
          "type": "CDM"
        },
        {
          "code": "20553",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2608,
          "discounted_cash": 1695.2,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1648.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1648.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2138.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2138.56
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1434.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 261.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2608,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2216.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1674.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1674.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2608,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2109.87
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1697.81
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 711.98
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 1695.2
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1721.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1648.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2138.56
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1434.4
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 271.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2138.56
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2216.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1992.51
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2216.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2608,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2608,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2608,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2608,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1903.84
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2216.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1434.4
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2162.03
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 258.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 261.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1956
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1674.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1697.81
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1903.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1674.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1674.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1992.51
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1434.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 261.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 271.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2216.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1648.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1648.26
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 258.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1992.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2608,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1697.81
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2216.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2608,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "estimated_amount": 2608
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2138.56
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2162.03
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2216.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1648.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2138.56
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 258.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2608,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2608,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2216.8
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2608,
              "additional_payer_notes": " ASC LISTED"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "estimated_amount": 2608
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2287.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1648.26
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1434.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 261.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 258.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 271.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 2295.04
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 258.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2162.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1674.34
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "estimated_amount": 2608
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2608,
              "additional_payer_notes": " ASC LISTED"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2608,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2608,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2608,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1697.81
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1903.84
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2216.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1434.4
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "estimated_amount": 423
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1648.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2138.56
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 258.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2216.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1674.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1674.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1674.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1674.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1674.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2608,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1697.81
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 258.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2216.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2608,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2109.87
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 258.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2608,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2608,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1992.51
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1903.84
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "estimated_amount": 2608
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2216.8
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2216.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1992.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2608,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2216.8
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1956
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1956
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2287.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2138.56
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1434.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 261.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 258.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1674.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1992.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2608,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1903.84
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1903.84
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "estimated_amount": 2608
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 258.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 271.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2608,
              "additional_payer_notes": "OUTPATIENT"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Biopsy Soft Tissue Neck or Thorax",
      "code_information": [
        {
          "code": "PX-36100093",
          "type": "CDM"
        },
        {
          "code": "21550",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 4752,
          "discounted_cash": 3088.8,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4167.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3896.64
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2613.6
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3939.41
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 4181.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3050.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4752,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3093.55
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3468.96
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4039.2
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3564
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4752,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4752,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3093.55
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3468.96
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4039.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3896.64
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3939.41
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3564
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3003.26
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4039.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3050.78
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3093.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3630.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3050.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4752,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3468.96
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4752,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4039.2
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3564
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4039.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3003.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3003.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3896.64
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3468.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3050.78
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4039.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3003.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3896.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3896.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3896.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3630.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4752,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4752,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4752,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3630.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3050.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4752,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4039.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2613.6
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4039.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2613.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4752,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3844.37
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3844.37
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4039.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3050.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4752,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3003.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3003.26
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2613.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3050.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4752,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4752,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3468.96
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 3088.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3630.53
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4039.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3003.26
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2613.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3896.64
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4039.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3050.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4752,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3093.55
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4752,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3630.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4752,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3093.55
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1297.3
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 3136.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3003.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3050.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3050.78
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3468.96
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4039.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3050.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3630.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3050.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4752,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4752,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4752,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4752,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4752,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4752,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4167.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3896.64
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3939.41
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2613.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2613.6
            }
          ]
        }
      ]
    },
    {
      "description": "HC Bronchoscopy Through Tracheostomy",
      "code_information": [
        {
          "code": "PX-36100128",
          "type": "CDM"
        },
        {
          "code": "31615",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 4459,
          "discounted_cash": 2898.35,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2818.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3910.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3656.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3656.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2452.45
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3696.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2862.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4459,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3406.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3406.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4459,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4459,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 2898.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3656.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2452.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2452.45
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3790.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2818.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2862.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4459,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3255.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2862.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4459,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2902.81
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4459,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3344.25
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3696.51
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2452.45
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3790.15
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3790.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3607.33
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3607.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2862.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4459,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4459,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4459,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2902.81
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4459,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3790.15
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3790.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2862.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3406.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2862.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3406.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4459,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4459,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4459,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3255.07
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4459,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3790.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3406.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2862.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2902.81
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4459,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2818.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2818.09
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3656.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4459,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3790.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4459,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3790.15
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 2942.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2818.09
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3656.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2452.45
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3344.25
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3696.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4459,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4459,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3255.07
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3255.07
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3790.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2818.09
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3656.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2452.45
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3790.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2818.09
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3656.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3406.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2862.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4459,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2862.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2862.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2862.68
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1217.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2818.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3910.54
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2452.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2902.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2902.81
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4459,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3344.25
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3790.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4459,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3255.07
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3790.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3656.38
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 3923.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2862.68
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3255.07
            }
          ]
        }
      ]
    },
    {
      "description": "HC Bronchoscopy W Alveolar Lavage",
      "code_information": [
        {
          "code": "PX-36100132",
          "type": "CDM"
        },
        {
          "code": "31624",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 4663,
          "discounted_cash": 3030.95,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2947.02
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3865.63
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1496.16,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2993.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3035.61
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3963.55
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1273
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3963.55
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3497.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2993.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4663,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4663,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3772.37
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "estimated_amount": 4663
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "estimated_amount": 4663
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3963.55
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 3077.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3823.66
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1496.16,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1496.16,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1481.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 4103.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3823.66
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1555.42,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3963.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3035.61
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3403.99
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 3030.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3562.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2993.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2993.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4663,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3035.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2947.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2947.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2947.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2947.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2947.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3823.66
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2564.65
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2564.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4663,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4663,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4663,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3772.37
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3403.99
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1481.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3963.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4089.45
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1496.16,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1555.42,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "estimated_amount": 423
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1496.16,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2993.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2993.65
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3403.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2993.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4663,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4663,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4663,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4663,
              "additional_payer_notes": " ASC LISTED"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2564.65
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3865.63
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1481.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4089.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3823.66
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3963.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2993.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4663,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "estimated_amount": 4663
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3963.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3035.61
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1481.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3963.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2564.65
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1481.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4663,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3963.55
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4663,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3497.25
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3403.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4663,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3497.25
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3963.55
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3963.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3823.66
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1555.42,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3963.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2947.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3823.66
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2564.65
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2564.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3562.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2993.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3562.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4663,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "estimated_amount": 4663
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "estimated_amount": 4663
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1481.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3963.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2993.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2993.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4663,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4663,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4663,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3403.99
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4663,
              "additional_payer_notes": " ASC LISTED"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2947.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3823.66
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3823.66
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1481.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2564.65
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1481.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1481.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1555.42,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2993.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3562.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3562.53
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3403.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4663,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4663,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3963.55
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4663,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3562.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3035.61
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3865.63
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1481.35,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Bronchoscopy W Biopsy",
      "code_information": [
        {
          "code": "PX-36100133",
          "type": "CDM"
        },
        {
          "code": "31625",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 5432,
          "discounted_cash": 3530.8,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3433.02
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2987.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1496.16,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4503.13
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1630.64,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5432,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5432,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "estimated_amount": 5432
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4617.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3487.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3487.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5432,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4617.2
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4617.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3433.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4454.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2987.6
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1552.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1496.16,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5432,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5432,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3487.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5432,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3536.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3536.23
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3965.36
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4617.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4150.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5432,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "estimated_amount": 5432
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 3530.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4454.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2987.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4454.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4454.24
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1552.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5432,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5432,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5432,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5432,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4074
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3487.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4150.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5432,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1482.94
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5432,
              "additional_payer_notes": " ASC LISTED"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1496.16,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4617.2
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1630.64,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 1189.61
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4074
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4150.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5432,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3965.36
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4617.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5432,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3536.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4394.49
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3965.36
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "estimated_amount": 5432
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3433.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4454.24
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4503.13
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4617.2
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4617.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3487.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4150.05
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "estimated_amount": 5432
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1481.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3487.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5432,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5432,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3433.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4763.86
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2987.6
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4503.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3433.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3433.02
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2987.6
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1552.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3487.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4150.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5432,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3536.23
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3965.36
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3965.36
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4617.2
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4617.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4454.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2987.6
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 4780.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2987.6
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1481.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1630.64,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3487.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3487.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3487.34
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4617.2
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5432,
              "additional_payer_notes": " ASC LISTED"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4617.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4150.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3487.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5432,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3536.23
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1481.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4763.86
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4454.24
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1496.16,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1481.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1630.64,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3433.02
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4617.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3487.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5432,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3965.36
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4617.2
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1481.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5432,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4394.49
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "estimated_amount": 5432
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1481.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4074
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 3585.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3433.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4454.24
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1496.16,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1481.35,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Bronchoscopy W Needle Bx Ea Addl Lobe",
      "code_information": [
        {
          "code": "PX-36100141",
          "type": "CDM"
        },
        {
          "code": "31633",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 4680,
          "discounted_cash": 3042,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2957.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3837.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3837.6
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3978
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3510
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3004.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3575.52
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3978
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3978
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4680,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3879.72
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4680,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4680,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4680,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3004.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3046.68
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3978
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4680,
              "additional_payer_notes": " ASC LISTED"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4680,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3416.4
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3510
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4680,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4680,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3978
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3046.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3046.68
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4680,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3978
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3004.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3004.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3004.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4680,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4680,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4680,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3978
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3978
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4104.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2957.76
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2574
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2574
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3879.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4680,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4680,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3416.4
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4680,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3978
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3004.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4680,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4680,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3510
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2957.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3837.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2574
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4680,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4680,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3004.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4680,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4680,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3575.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3004.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3046.68
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3416.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4680,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2957.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2957.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3837.6
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4680,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2957.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3837.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2574
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2574
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4680,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3879.72
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4680,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4680,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4680,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3786.12
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3416.4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3978
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3004.56
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2574
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4680,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4680,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3978
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2957.76
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2574
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3575.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3004.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3575.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4680,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4680,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3046.68
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4680,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3004.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4680,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4680,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4680,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3416.4
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 3042
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 3088.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2957.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4104.36
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3978
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4680,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4680,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3575.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4680,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3786.12
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4680,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1277.64
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3978
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3575.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3004.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4680,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3978
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3837.6
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "estimated_amount": 692
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4680,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4680,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3416.4
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4680,
              "additional_payer_notes": " ASC LISTED"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3837.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3837.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4680,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4680,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4680,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 4118.4
            }
          ]
        }
      ]
    },
    {
      "description": "HC Bronchoscopy W Therap Asp of Trach Ini",
      "code_information": [
        {
          "code": "PX-36100149",
          "type": "CDM"
        },
        {
          "code": "31645",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 4442,
          "discounted_cash": 2887.3,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2807.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3895.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2807.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3642.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2443.1
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1555.42,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1481.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1496.16,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4442,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2891.74
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1212.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2851.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3393.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4442,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4442,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2891.74
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3775.7
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3775.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3642.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2443.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3642.44
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3682.42
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1555.42,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3775.7
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3775.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2851.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2851.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4442,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4442,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4442,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3775.7
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3775.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3393.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2851.76
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4442,
              "additional_payer_notes": " ASC LISTED"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2807.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3642.44
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1450.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1450.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3775.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2851.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2891.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2851.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4442,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "estimated_amount": 4442
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1481.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3775.7
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 2887.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2807.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3895.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3642.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3642.44
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1496.16,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1450.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1496.16,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3682.42
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3331.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2851.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4442,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3242.66
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3242.66
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3331.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2851.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2851.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4442,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4442,
              "additional_payer_notes": " ASC LISTED"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2443.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2807.34
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4442,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1555.42,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2851.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4442,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4442,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3593.58
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3242.66
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1481.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "estimated_amount": 4442
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3775.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2891.74
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3242.66
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "estimated_amount": 4442
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2807.34
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1496.16,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1522.54,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2443.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2443.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1496.16,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1450.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4442,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3593.58
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3242.66
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 2931.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4442,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3775.7
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3775.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2807.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1450.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2443.1
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3682.42
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4442,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 3908.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3393.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3393.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4442,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "estimated_amount": 4442
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "estimated_amount": 4442
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1481.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2851.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4442,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3242.66
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3775.7
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3331.5
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1481.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3775.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2443.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3393.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4442,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4442,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2891.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2851.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4442,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2807.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3642.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3393.69
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3775.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3642.44
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "estimated_amount": 423
            }
          ]
        }
      ]
    },
    {
      "description": "HC Remove Tunneled Pleural Cath W Cuff",
      "code_information": [
        {
          "code": "PX-36100160",
          "type": "CDM"
        },
        {
          "code": "32552",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 3732,
          "discounted_cash": 2425.8,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2358.62
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 553.77,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 536.7,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2395.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2395.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3732,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2395.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3732,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2724.36
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3172.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3060.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3060.24
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 536.7,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3732,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3172.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3060.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2395.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2395.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2395.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3732,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3732,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3732,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3172.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2395.94
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2724.36
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3172.2
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3732,
              "additional_payer_notes": " ASC LISTED"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 2463.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2358.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2358.62
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 563.54,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2799
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3172.2
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3172.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2358.62
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3093.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3093.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2851.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2851.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "estimated_amount": 3580
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3172.2
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2799
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3172.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3060.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2052.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2358.62
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3060.24
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 563.54,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3732,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3732,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3019.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2851.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2851.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3732,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3732,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3732,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2724.36
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2799
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 553.77,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 536.7,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 553.77,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3172.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3060.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3060.24
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 553.77,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 3284.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2851.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2851.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3732,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3172.2
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3732,
              "additional_payer_notes": " ASC LISTED"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3172.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3732,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2724.36
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 536.7,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3060.24
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3093.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2395.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3732,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2429.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2395.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2395.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3732,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "estimated_amount": 3580
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3172.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2358.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3272.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2358.62
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2052.6
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 563.54,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3732,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 553.77,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "estimated_amount": 140
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2395.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2395.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2429.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3732,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2429.53
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 2425.8
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 536.7,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3732,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3272.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2052.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2052.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2052.6
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 536.7,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3732,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3019.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2429.53
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "estimated_amount": 3580
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "estimated_amount": 3580
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1018.84
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3172.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2429.53
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2724.36
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2724.36
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 536.7,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "estimated_amount": 3580
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2052.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2052.6
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 536.7,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 563.54,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3732,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 536.7,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3172.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2358.62
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 536.7,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Insert Pacer Pulse Generator Mult Leads",
      "code_information": [
        {
          "code": "PX-36100183",
          "type": "CDM"
        },
        {
          "code": "33221",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 19509,
          "discounted_cash": 12680.85,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 12329.69
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 15997.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 10729.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 10729.95
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 14241.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 12524.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 19509,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 19509,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 16582.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 17109.39
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 16172.96
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 17006.41,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 17856.73,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 12329.69
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 17176.47,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 17006.41,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 17856.73,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 16582.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 19509,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 19509,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 14241.57
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "estimated_amount": 19509
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 19509,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 19509,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 19509,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 17006.41,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "estimated_amount": 19509
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 12329.69
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 17006.41,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 12329.69
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 17006.41,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 16582.65
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 16582.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 12524.78
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 18,
              "estimated_amount": 3511.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 19509,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 12700.36
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 14241.57
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 17006.41,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 15997.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 15997.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 10729.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 17176.47,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 12329.69
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 10729.95
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 17167.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 12524.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 19509,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 17006.41,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 12524.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 12524.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 19509,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 19509,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 19509,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 16582.65
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 12680.85
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 18,
              "estimated_amount": 3511.62
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 16582.65
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 17856.73,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 12524.78
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 15782.78
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 12700.36
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 14241.57
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 16582.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 12524.78
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 14241.57
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 16582.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 17176.47,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 15997.38
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 17856.73,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 12524.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 14904.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 12524.78
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "estimated_amount": 19509
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "estimated_amount": 19509
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 12875.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 14904.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 19509,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 16582.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 15997.38
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 16172.96
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 17006.41,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 17176.47,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 4272.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 12329.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 17109.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 15997.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 10729.95
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 17006.41,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 19509,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 19509,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 12524.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 14904.88
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "estimated_amount": 19509
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 16582.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 14631.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 14904.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 19509,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 14241.57
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 16582.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 15997.38
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 17176.47,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 17006.41,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 19509,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 10729.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 14904.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 12524.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 19509,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 16582.65
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 16582.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 12524.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 19509,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 19509,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 15782.78
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 12700.36
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 5325.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 12329.69
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 10729.95
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 16582.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 14904.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 12700.36
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 12700.36
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 14631.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 12329.69
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 15997.38
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 16172.96
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 14631.75
            }
          ]
        }
      ]
    },
    {
      "description": "HC Endovenous Ablation Ext Rf 2nd+ Veins",
      "code_information": [
        {
          "code": "PX-36100284",
          "type": "CDM"
        },
        {
          "code": "36476",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 5706,
          "discounted_cash": 3708.9,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3606.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3606.19
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3138.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5706,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4730.27
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5706,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5706,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4359.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5706,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5706,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5706,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1557.74
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4850.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4616.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3606.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4678.92
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5706,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5706,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4359.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5706,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5706,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3714.61
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4165.38
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5706,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4850.1
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5706,
              "additional_payer_notes": " ASC LISTED"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5706,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 5021.28
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4850.1
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5706,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3606.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 5004.16
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5706,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 1249.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3663.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3663.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3714.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3714.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3714.61
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 3765.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3663.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3663.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5706,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4165.38
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5706,
              "additional_payer_notes": " ASC LISTED"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3138.3
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4730.27
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5706,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4850.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3606.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4678.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5706,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5706,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5706,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5706,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5706,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5706,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4165.38
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4850.1
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4279.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4678.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3138.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3138.3
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4730.27
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5706,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3663.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4359.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4359.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5706,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5706,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4616.15
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5706,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4850.1
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4165.38
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5706,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4850.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4678.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3138.3
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5706,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4850.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3138.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5706,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5706,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5706,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5706,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3663.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3714.61
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4165.38
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5706,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3663.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3663.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4359.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5706,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4165.38
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4850.1
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5706,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3606.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4678.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3138.3
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5706,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5706,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4359.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3663.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3663.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5706,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3663.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3663.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5706,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3606.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4678.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 5004.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4678.92
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4850.1
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4279.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5706,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4279.5
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4850.1
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4850.1
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 3708.9
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4850.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3606.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4678.92
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5706,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5706,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5706,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5706,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4850.1
            }
          ]
        }
      ]
    },
    {
      "description": "HC Art Mech Throm (Non Cor) Secondary",
      "code_information": [
        {
          "code": "PX-36100330",
          "type": "CDM"
        },
        {
          "code": "37186",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 23233,
          "discounted_cash": 15101.45,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 20375.34
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 23233,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 19748.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 17750.01
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 18,
              "estimated_amount": 4181.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 14915.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23233,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 19748.05
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 15101.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 19051.06
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 12778.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 14683.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 14683.26
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 23233,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 19260.16
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 23233,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 23233,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 17424.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23233,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 15124.68
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23233,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23233,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 18,
              "estimated_amount": 4181.94
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 19748.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 14915.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23233,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23233,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23233,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 19051.06
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 12778.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23233,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 17750.01
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23233,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23233,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23233,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 23233,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 19748.05
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 17424.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 14683.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 19051.06
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 12778.15
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 23233,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 23233,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 19748.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 14683.26
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 19260.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 14915.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 17750.01
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 16960.09
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 16960.09
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 15333.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 17750.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 14915.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23233,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 15124.68
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 19748.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 20375.34
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 12778.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 19051.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 19051.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 19051.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23233,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 18795.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 15124.68
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 17424.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 17750.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 17750.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 14915.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23233,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 15124.68
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 23233,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 19748.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 12778.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 23233,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 23233,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 23233,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23233,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 23233,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23233,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23233,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 15124.68
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 19748.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23233,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23233,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 16960.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 14683.26
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 23233,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 23233,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 23233,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 23233,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 5088.03
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 23233,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 20445.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 14683.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 14683.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 14683.26
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 23233,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 23233,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 14915.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 14915.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23233,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 16960.09
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 19748.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 14915.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23233,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 16960.09
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 19748.05
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 19260.16
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 23233,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 23233,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 19748.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 19051.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 19051.06
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 12778.15
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 19748.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 14915.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 14915.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 14915.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23233,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 18795.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 16960.09
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 23233,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 6342.61
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 12778.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 14915.59
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 19748.05
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 19748.05
            }
          ]
        }
      ]
    },
    {
      "description": "HC Trnscth Tx Thrmb Subq Day",
      "code_information": [
        {
          "code": "PX-36100348",
          "type": "CDM"
        },
        {
          "code": "37213",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 39480,
          "discounted_cash": 25662,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 34623.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 32373.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 32373.6
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 32728.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 25346.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 25346.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 39480,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 25701.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 25701.48
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 29610
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 39480,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 39480,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 25662
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 26056.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 24951.36
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 32373.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 30162.72
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 28820.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 39480,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 39480,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 24951.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 24951.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 34623.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 30162.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 25346.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 25346.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 39480,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 39480,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 25701.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 25346.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 39480,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 33558
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 24951.36
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 32373.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 32373.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 25346.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 30162.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 39480,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 28820.4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 33558
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 33558
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 29610
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 33558
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 39480,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 39480,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 28820.4
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 33558
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 24951.36
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 32373.6
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 32728.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 21714
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 30162.72
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 28820.4
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 33558
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 25346.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 39480,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 39480,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 39480,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 39480,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 21714
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 33558
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 21714
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 25346.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 39480,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 29610
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 28820.4
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 28820.4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 33558
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 25346.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 25346.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 30162.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 39480,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 39480,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 31939.32
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 39480,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 24951.36
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 21714
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 21714
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 25701.48
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 39480,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 24951.36
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 32373.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 32373.6
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 34742.4
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 33558
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 24951.36
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 32728.92
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 33558
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 39480,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 31939.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 25346.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 25346.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 25701.48
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 39480,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 10778.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 21714
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 30162.72
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 33558
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 21714
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 33558
            }
          ]
        }
      ]
    },
    {
      "description": "HC Inj Splenoportogram",
      "code_information": [
        {
          "code": "PX-36100373",
          "type": "CDM"
        },
        {
          "code": "38200",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 301,
          "discounted_cash": 195.65,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 190.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 246.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 246.82
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 219.73
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 255.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 193.24
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 219.73
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 301,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 301,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 255.85
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 225.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 190.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 263.98
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 165.55
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 249.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 301,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 301,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 301,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 219.73
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 301,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 225.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 229.96
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 195.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 263.98
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 246.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 246.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 165.55
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 255.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 246.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 165.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 193.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 301,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 301,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 301,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 301,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 193.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 193.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 229.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 301,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 301,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 301,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 255.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 190.23
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 165.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 165.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 229.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 229.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 301,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 255.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 301,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 195.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 243.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 190.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 246.82
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 255.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 193.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 301,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 219.73
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 255.85
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 198.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 190.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 190.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 246.82
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 255.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 190.23
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 249.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 193.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 193.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 301,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 195.95
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 225.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 165.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 301,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 195.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 195.95
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 255.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 193.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 229.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 229.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 301,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 255.85
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 249.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 193.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 301,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 301,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 195.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 243.51
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 219.73
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 255.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 301,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 219.73
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 255.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 190.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 246.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 165.55
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 264.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 193.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 193.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 193.24
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 82.17
            }
          ]
        }
      ]
    },
    {
      "description": "HC Abdominal Paracentesis WO Img",
      "code_information": [
        {
          "code": "PX-36100418",
          "type": "CDM"
        },
        {
          "code": "49082",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 6220,
          "discounted_cash": 4043,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3931.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5100.4
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 870.9,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 6220,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3993.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4752.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6220,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 6220,
              "additional_payer_notes": " ASC LISTED"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4752.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6220,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6220,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4540.6
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1698.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3931.04
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 829.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3931.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5100.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3421
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 829.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 829.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6220,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4540.6
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5287
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 4105.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3993.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4752.08
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "estimated_amount": 3580
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5287
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5287
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5100.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3421
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5287
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4049.22
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4540.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "estimated_amount": 3580
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "estimated_amount": 3580
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5287
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5287
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3993.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4752.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3993.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5100.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 799.08,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 6220,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3931.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3421
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 799.08,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 791.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 870.9,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5287
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4752.08
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "estimated_amount": 3580
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 829.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5287
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 4043
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 5454.94
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3421
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 799.08,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 870.9,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 5473.6
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5287
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3993.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6220,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6220,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6220,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5287
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5287
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3993.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3993.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3993.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6220,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4049.22
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4665
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 5454.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5100.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 799.08,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 5156.38
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 6220,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3931.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3421
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 791.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3993.24
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 1362.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6220,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6220,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 5031.98
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4540.6
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 829.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4752.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6220,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6220,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4049.22
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4540.6
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 829.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3931.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5100.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3421
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 799.08,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3931.04
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 829.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 829.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 5156.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3993.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3993.24
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 6220,
              "additional_payer_notes": " ASC LISTED"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5287
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3993.24
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "estimated_amount": 3580
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5100.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3421
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 5156.38
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 870.9,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6220,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6220,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 5031.98
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4540.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6220,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6220,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6220,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4049.22
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4665
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5287
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3931.04
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4049.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5100.4
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4665
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5287
            }
          ]
        }
      ]
    },
    {
      "description": "HC Rem Ureteral Stent Perc",
      "code_information": [
        {
          "code": "PX-36100444",
          "type": "CDM"
        },
        {
          "code": "50384",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 22296,
          "discounted_cash": 14492.4,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 14091.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 18282.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 18282.72
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 12262.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 12262.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 17034.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 14314.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 14314.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 14314.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22296,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 14514.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 18037.46
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 12262.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 19553.59
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 18282.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 17034.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22296,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 14514.7
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 6086.81
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 16722
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 14314.03
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 18951.6
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 18951.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 14091.07
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 12262.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 12262.8
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 18483.38
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 18951.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 14314.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22296,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22296,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 16276.08
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 16276.08
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 14492.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 14314.03
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22296,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 14715.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 14091.07
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 16722
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 18483.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22296,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 14514.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 14514.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 18037.46
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22296,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 18951.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 14091.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 14091.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 19553.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 14091.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 18282.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 18282.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 14314.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22296,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22296,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22296,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 18951.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 14314.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 14314.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 14314.03
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 16276.08
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 16276.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 18282.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 18282.72
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 18951.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 18282.72
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 12262.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22296,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22296,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 14314.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22296,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 18951.6
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 16722
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 18951.6
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 19620.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 14091.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22296,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 18951.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 17034.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22296,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22296,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 16276.08
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22296,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 14091.07
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 18483.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 12262.8
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 18951.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22296,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22296,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 16276.08
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22296,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 18951.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 17034.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 14314.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22296,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22296,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 17034.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 17034.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 14514.7
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 18951.6
            }
          ]
        }
      ]
    },
    {
      "description": "HC Inj Cystography or Voiding Urethrocysto",
      "code_information": [
        {
          "code": "PX-36100464",
          "type": "CDM"
        },
        {
          "code": "51600",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 3320,
          "discounted_cash": 2158,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2098.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2131.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2536.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3320,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3320,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2822
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2536.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3320,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2161.32
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2822
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2098.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2722.4
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3320,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2131.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3320,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2161.32
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2822
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2131.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3320,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2423.6
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2822
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2722.4
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2752.28
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2752.28
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3320,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2098.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2131.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2131.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3320,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3320,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3320,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2423.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3320,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3320,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2822
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2822
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2098.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2722.4
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3320,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "estimated_amount": 423
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2722.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1826
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1826
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3320,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2822
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2131.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2131.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2685.88
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3320,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3320,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2822
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2131.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3320,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3320,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2490
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2822
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2911.64
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1826
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3320,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2911.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2098.24
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3320,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3320,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3320,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2536.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2536.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2536.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2131.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3320,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3320,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2161.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2161.32
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2423.6
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3320,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3320,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 906.36
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2490
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2098.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2722.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2722.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1826
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2822
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3320,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 2191.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3320,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3320,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3320,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3320,
              "additional_payer_notes": " ASC LISTED"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3320,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3320,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2098.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2722.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2722.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1826
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1826
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3320,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3320,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2822
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 2921.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2131.44
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2423.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3320,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2685.88
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 2158
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1826
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3320,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3320,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2490
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3320,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3320,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3320,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3320,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2822
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2131.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2536.48
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2822
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2161.32
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2423.6
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2423.6
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3320,
              "additional_payer_notes": " ASC LISTED"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3320,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2752.28
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3320,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2131.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3320,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2822
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2098.24
            }
          ]
        }
      ]
    },
    {
      "description": "HC Unlisted Procedure Endocrine System",
      "code_information": [
        {
          "code": "PX-36100502",
          "type": "CDM"
        },
        {
          "code": "60699",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 4832,
          "discounted_cash": 3140.8,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3053.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2657.6
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5035.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4832,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3102.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3102.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3145.63
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3527.36
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5035.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5035.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4832,
              "additional_payer_notes": "ASC UNLISTED"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3102.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4832,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3909.09
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4107.2
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3624
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2657.6
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5086.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3962.24
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5086.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5086.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5287.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4107.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3102.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3145.63
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3624
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4107.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3102.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3691.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4832,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4832,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4832,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3527.36
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "estimated_amount": 4832
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4107.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3053.82
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 4252.16
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5287.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 26.3,
              "estimated_amount": 1270.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4832,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "estimated_amount": 4832
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4107.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4237.66
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4107.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3102.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4832,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4832,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4832,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4832,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3909.09
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4107.2
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4107.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3691.65
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "estimated_amount": 4832
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4107.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3962.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2657.6
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5035.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5035.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3053.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4237.66
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5086.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4005.73
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5035.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3691.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3102.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4832,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4832,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3527.36
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1319.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3691.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3102.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3691.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3102.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4832,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3527.36
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4107.2
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4107.2
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 3189.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3053.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3962.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3962.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2657.6
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5035.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4107.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3053.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3691.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3102.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4832,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4832,
              "additional_payer_notes": "ASC UNLISTED"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4832,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "estimated_amount": 4832
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3962.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2657.6
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4005.73
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5035.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4832,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3053.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3962.24
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5086.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5287.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5287.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3624
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3102.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3145.63
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "estimated_amount": 4832
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4832,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4832,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3145.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3053.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2657.6
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5035.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4832,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3053.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3962.24
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4107.2
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3527.36
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5035.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4107.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3102.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3145.63
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3527.36
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 3140.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2657.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4832,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3962.24
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4005.73
            }
          ]
        }
      ]
    },
    {
      "description": "HC Transcath Plcmnt Radiation Del Dev",
      "code_information": [
        {
          "code": "PX-36100591",
          "type": "CDM"
        },
        {
          "code": "92974",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2234,
          "discounted_cash": 1452.1,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1959.22
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1898.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1706.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1434.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1434.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2234,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 1452.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1706.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1434.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1807.31
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2234,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2234,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1706.78
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2234,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1675.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1434.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2234,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2234,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2234,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2234,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1898.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1411.89
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1831.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1831.88
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2234,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1851.99
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2234,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2234,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1411.89
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1831.88
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2234,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2234,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1706.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1706.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2234,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2234,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2234,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1851.99
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2234,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2234,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2234,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1411.89
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2234,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2234,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1675.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2234,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1898.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1454.33
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2234,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1898.9
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2234,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1898.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1411.89
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2234,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1898.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1434.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1434.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2234,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1454.33
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1898.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1434.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2234,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2234,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1630.82
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1898.9
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1898.9
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2234,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1831.88
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1228.7
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2234,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2234,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1411.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1411.89
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1831.88
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2234,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1434.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2234,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2234,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2234,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2234,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1898.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1454.33
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1898.9
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1675.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2234,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1630.82
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1630.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1959.22
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1228.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1228.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1228.7
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1965.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1411.89
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2234,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1434.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2234,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2234,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2234,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1630.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1434.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1706.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1434.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2234,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2234,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1454.33
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1807.31
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1630.82
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1898.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1411.89
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1831.88
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1228.7
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2234,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1898.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1831.88
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1851.99
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 609.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1434.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1454.33
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1630.82
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2234,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1898.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1831.88
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1228.7
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 489.25
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2234,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1474.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1228.7
            }
          ]
        }
      ]
    },
    {
      "description": "HC Red Cells Leuko Reduced 1 Unit",
      "code_information": [
        {
          "code": "PX-39000007",
          "type": "CDM"
        },
        {
          "code": "P9016",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 982,
          "discounted_cash": 638.3,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 620.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 861.21
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 540.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 540.1
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 982,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 182.34,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 630.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 750.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 639.28
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 716.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 750.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 630.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 630.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 639.28
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 173.66,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 982,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 814.08
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 175.4,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 173.66,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 173.66,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 736.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 630.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 794.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 982,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 639.28
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 834.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 805.24
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 175.4,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 834.7
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 834.7
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 834.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 175.4,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 814.08
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 173.66,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 982,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 982,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 982,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 834.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 805.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 805.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 540.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 540.1
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 182.34,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 620.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 861.21
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 805.24
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 834.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 630.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 750.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 982,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 982,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 834.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 750.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 982,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 982,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 982,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 716.86
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 736.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 620.62
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 805.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 805.24
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 182.34,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 982,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 750.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 545.01
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 545.01
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 834.7
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 834.7
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 834.7
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 834.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 630.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 630.44
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 982
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 268.09
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 648.12
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 540.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 540.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 175.4,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 173.66,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 805.24
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 173.66,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 630.44
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 173.66,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 794.44
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 716.86
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 545.01
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 834.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 630.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 630.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 750.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 982,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 982,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 716.86
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 173.66,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 736.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 173.66,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 175.4,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 982,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 982,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 716.86
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 834.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 630.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 982,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 173.66,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 638.3
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 834.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 540.1
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 182.34,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 864.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 620.62
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 805.24
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 814.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 630.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 639.28
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 545.01
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 982,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 982,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 982,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 982,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 639.28
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 716.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 620.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 620.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 620.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 982,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 620.62
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 982,
              "additional_payer_notes": "ALL OTHER OP"
            }
          ]
        }
      ]
    },
    {
      "description": "HC US Pregnant Uterus After 1st Trimester Sgl Fetus",
      "code_information": [
        {
          "code": "PX-40200012",
          "type": "CDM"
        },
        {
          "code": "76805",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 504,
          "discounted_cash": 327.6,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 442.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 318.53
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 413.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 277.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 96.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 417.82
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 504,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 323.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 323.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 385.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 504,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 504,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 367.92
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 428.4
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 428.4
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 332.64
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 277.2
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 96.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 277.2
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 428.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 504,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 504
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 428.4
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 428.4
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 327.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 504,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 504,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 318.53
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 413.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 318.53
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 504,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 323.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 504,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 504,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 367.92
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 367.92
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 378
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 504,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 428.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 385.06
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 137.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 318.53
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 96.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 428.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 385.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 504,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 504,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 328.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 323.57
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 367.92
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 413.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 413.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 277.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 417.82
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 100.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 96.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 100.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 367.92
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 367.92
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 428.4
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 428.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 323.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 323.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 323.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 504,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 407.74
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 428.4
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 504,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 318.53
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 413.28
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 323.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 323.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 504,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 428.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 407.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 328.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 279.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 385.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 328.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 279.72
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 277.2
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 100.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 96.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 504,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 378
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 413.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 277.2
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 443.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 504,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 504,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 279.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 323.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 385.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 504,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 328.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 279.72
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 428.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 442.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 318.53
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 413.28
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 100.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 428.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 318.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 318.53
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 323.57
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 328.1
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 428.4
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 378
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 385.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 504,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 277.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 417.82
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 504,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 323.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 504,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 504,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 413.28
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95.95,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "HC US Pregnant Uterus After 1st Trimester Ea Addl Fetus",
      "code_information": [
        {
          "code": "PX-40200013",
          "type": "CDM"
        },
        {
          "code": "76810",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 326,
          "discounted_cash": 211.9,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 206.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 326,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 326,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 326,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 326,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 212.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 212.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 209.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 326,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 212.23
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 180.93
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 267.32
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 270.25
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 326,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 286.88
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 277.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 285.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 179.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 179.3
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 326,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 326,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 326,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 209.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 249.06
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 237.98
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 277.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 326,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 277.1
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 326,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 179.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 326,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 326
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 326,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 211.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 267.32
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 326,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 326,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 326,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 326,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 326,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 277.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 206.03
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 179.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 209.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 326,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 212.23
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 237.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 180.93
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 277.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 249.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 326,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 237.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 180.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 206.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 206.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 267.32
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 326,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 244.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 206.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 267.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 209.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 249.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 249.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 209.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 326,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 237.98
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 326,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 326,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 326,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 237.98
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 237.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 206.03
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 326,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 179.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 326,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 249.06
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 277.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 326,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 263.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 209.29
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 180.93
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 326,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 89
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 277.1
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 215.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 267.32
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 270.25
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 326,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 206.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 285.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 179.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 179.3
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 270.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 209.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 326,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 263.73
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 244.5
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 326,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 277.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 209.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 326,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 326,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 277.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 267.32
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 326,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 267.32
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 326,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 326,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 277.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 209.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 209.29
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 326,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 244.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 209.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 209.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 326,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 212.23
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 326,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 277.1
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 277.1
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 277.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 206.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 249.06
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 277.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 267.32
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 326,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 326,
              "additional_payer_notes": "OUTPATIENT"
            }
          ]
        }
      ]
    },
    {
      "description": "Huber Infusion Set Gripper Plus 22 G X 3/4 In",
      "code_information": [
        {
          "code": "PX-CH-BRSD21-2766",
          "type": "CDM"
        },
        {
          "code": "A4212",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 11.52,
          "discounted_cash": 7.49,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.79
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 3.14
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.45
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 9.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 6.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 9.32
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8.41
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 6.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 10.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.45
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 8.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.4
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8.41
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 7.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 6.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 10.1
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 10.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.34
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.34
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.79
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 8.64
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.79
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.79
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8.41
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.34
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8.41
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.34
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 11.52
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.45
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 9.55
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.79
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.34
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 9.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8.41
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 6.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.79
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 8.64
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 7.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.28
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 9.55
            }
          ]
        }
      ]
    },
    {
      "description": "HC Pet Imaging W CT Skull Base to Mid Thigh",
      "code_information": [
        {
          "code": "PX-40400004",
          "type": "CDM"
        },
        {
          "code": "78815",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 7657,
          "discounted_cash": 4977.05,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4839.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4839.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 6715.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6278.74
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4211.35
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 6347.65
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1365.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7657,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7657,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4984.71
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5589.61
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5589.61
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6508.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7657,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5589.61
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4249.64
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4249.64
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6508.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6278.74
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 7657,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 5742.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4839.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6278.74
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1365.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7657,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 5053.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4915.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 5849.95
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5589.61
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6508.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6278.74
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1365.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 1676.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4839.22
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1379.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1433.71,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4915.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4915.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7657,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5589.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4915.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 5849.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4984.71
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 7657,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6508.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4839.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6278.74
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4211.35
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 6347.65
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1433.71,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4211.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4211.35
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 7657,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4915.79
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4249.64
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6508.45
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6508.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 5849.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4915.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7657,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7657,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7657,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7657,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4984.71
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1365.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1365.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6508.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4211.35
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1379.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1379.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1365.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4915.79
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5589.61
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4249.64
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 5742.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 5742.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 5849.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4915.79
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 6194.51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4984.71
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 7657
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6278.74
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6508.45
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1365.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7657,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1433.71,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6508.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7657,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 6194.51
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6508.45
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 2090.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 6715.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4839.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4839.22
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1379.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6508.45
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 6347.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4915.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4915.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4915.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4915.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7657,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4984.71
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1365.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 7657,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 5849.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7657,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6508.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4839.22
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1365.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1433.71,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6278.74
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4211.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1379.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7657,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 5849.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7657,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7657,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6508.45
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 4977.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6278.74
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4211.35
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 7657,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7657,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1365.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6508.45
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 6738.16
            }
          ]
        }
      ]
    },
    {
      "description": "HC Mdi Instruction Only",
      "code_information": [
        {
          "code": "PX-41000033",
          "type": "CDM"
        },
        {
          "code": "94664",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 560,
          "discounted_cash": 364,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 353.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 353.92
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 476
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 359.52
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 476
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 420
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 427.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 353.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 308
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 464.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 427.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 560,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 364.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 560
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 476
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 359.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 560,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 453.04
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 408.8
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 476
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 476
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 491.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 353.92
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 464.24
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 476
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 459.2
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 476
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 476
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 427.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 359.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 359.52
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 152.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 353.92
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 459.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 359.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 359.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 364.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 359.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 560,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 364.56
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 364
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 308
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 353.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 308
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 420
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 364.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 310.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 359.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 359.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 560,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 560,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 369.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 491.12
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 464.24
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 492.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 359.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 359.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 560,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 560,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 560,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 408.8
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 408.8
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 476
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 427.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 560,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 560,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 560,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 560,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 310.8
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 476
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 459.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 459.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 453.04
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 420
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 427.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 560,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 560,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 408.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 310.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 459.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 308
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 353.92
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 459.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 459.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 359.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 560,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 560,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 560,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 364.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 310.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 427.84
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 476
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 459.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 308
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 308
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 408.8
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 408.8
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 476
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 353.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 308
            }
          ]
        }
      ]
    },
    {
      "description": "HC Pt Initial Orthotic Fitting Training 15 Min",
      "code_information": [
        {
          "code": "PX-42000035",
          "type": "CDM"
        },
        {
          "code": "97760",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 215,
          "discounted_cash": 139.75,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 135.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 135.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 135.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 135.88
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 44.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 138.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 138.03
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 215,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 182.75
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 182.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 176.3
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 44.89
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 176.3
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 215,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 138.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 215,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 215,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 139.97
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 119.33
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 44.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 138.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 215,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 215,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 139.97
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 156.95
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 141.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 118.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 44.89
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 47.13
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 176.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 118.25
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 215,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 138.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 215,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 156.95
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 44.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 215,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 119.33
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 176.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 118.25
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 182.75
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 189.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 135.88
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 118.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 44.89
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 215,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 215,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 182.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 138.03
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 156.95
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 182.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 176.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 176.3
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 44.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 138.03
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 156.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 138.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 139.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 139.97
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 156.95
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 44.89
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 182.75
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 182.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 135.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 135.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 176.3
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 178.24
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 44.89
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 215,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 182.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 135.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 176.3
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 178.24
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 178.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 164.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 138.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 215,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 215,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 37.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 215,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 215,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 182.75
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 58.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 138.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 164.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 215,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 139.75
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 215,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 188.56
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 44.89
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 44.89
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 44.89
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 44.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 173.94
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 161.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 138.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 215,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 215,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 215,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 139.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 173.94
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 156.95
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 182.75
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 182.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 188.56
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 118.25
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 44.89
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 44.89
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 118.25
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 44.89
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 161.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 164.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 138.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 215,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 215,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 215
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 119.33
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 119.33
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 182.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 164.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 164.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 164.26
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 182.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 161.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 118.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 44.89
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 182.75
            }
          ]
        }
      ]
    },
    {
      "description": "Wound Irrigation Puracyn Plus Twist Cap 8 Oz Antimicrobial",
      "code_information": [
        {
          "code": "PX-CH-IMC55IN6508",
          "type": "CDM"
        },
        {
          "code": "A6260",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 22.21,
          "discounted_cash": 14.44,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 14.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 18.21
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 18.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 14.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 14.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 14.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 16.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 16.97
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 17.97
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 22.21
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 18.88
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 18.88
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 12.22
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 19.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 14.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 12.22
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 22.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 14.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 14.26
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 22.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 18.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 14.46
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 16.66
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 22.21,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 14.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 14.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 18.21
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 18.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 16.97
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 14.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 14.46
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 16.21
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 16.21
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 22.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 16.66
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 14.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 14.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 17.97
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 18.88
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 22.21,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 22.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 12.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 14.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 14.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 14.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 16.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 14.04
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 18.41
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 18.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 18.21
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 22.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 16.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 12.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 14.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 14.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 16.21
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 18.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 18.21
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 12.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 16.97
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 12.33
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 12.33
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 18.21
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 12.22
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 18.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 16.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 16.97
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 14.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 16.21
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 22.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 18.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 14.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 14.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 19.48
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 12.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 14.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 18.21
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 12.22
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 22.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 14.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 16.21
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 12.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 14.26
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 22.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 18.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 19.48
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 18.21
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 22.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 18.88
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 22.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 6.06
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 18.88
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 18.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 18.21
            }
          ]
        }
      ]
    },
    {
      "description": "2 Pc Pouch 2 3/4 in New Image Closed End",
      "code_information": [
        {
          "code": "PX-CH-HO18734",
          "type": "CDM"
        },
        {
          "code": "A5054",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1.14,
          "discounted_cash": 0.74,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.14,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.14,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.14,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.14,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.72
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.14,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1.14
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.14,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.14,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.14,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.72
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.14,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.14,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.14,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.72
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.14,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.72
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.14,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.86
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.14,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.14,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.14,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.14,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.93
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 1.2,
          "discounted_cash": 0.78,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.2,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.2,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.2,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.2,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.2,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.2,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.2,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.99
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.2,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.2,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.02
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.2,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.67
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.2,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.2,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.2,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.2,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1.2
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.2,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.2,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.02
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.67
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.2,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.67
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.67
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.02
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.99
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.02
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.02
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 1.19,
          "discounted_cash": 0.77,
          "payers_information": [
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.91
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.79
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.01
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.01
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.01
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.01
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.01
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.99
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.01
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.91
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1.19
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.99
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.01
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.99
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.01
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.99
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.65
            }
          ]
        }
      ]
    },
    {
      "description": "Kit Colostomy/Ileostomy Up to 2 3/4 In",
      "code_information": [
        {
          "code": "PX-CH-HO19004",
          "type": "CDM"
        },
        {
          "code": "A4421",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 6.99,
          "discounted_cash": 4.54,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5.1
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.88
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1.91
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.73
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.84
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 5.79
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.84
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.84
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.49
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4.55
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 5.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 5.65
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5.1
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.94
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.94
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.73
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 5.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.88
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 6.99
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.73
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 5.34
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 6.13
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 5.34
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 5.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 5.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.73
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.73
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 5.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.73
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.84
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.94
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 5.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 5.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 5.65
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.94
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 5.24
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 5.24
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 4.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.84
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 4.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 6.13
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.84
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 6.15
            }
          ]
        }
      ]
    },
    {
      "description": "Tubing Connector Oxygen Cannula",
      "code_information": [
        {
          "code": "PX-CH-TELE-1420",
          "type": "CDM"
        },
        {
          "code": "E1399",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.36,
          "discounted_cash": 0.23,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.23
            }
          ]
        }
      ]
    },
    {
      "description": "HC St Eval Swall Video/Fluoro",
      "code_information": [
        {
          "code": "PX-44400010",
          "type": "CDM"
        },
        {
          "code": "92611",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 460,
          "discounted_cash": 299,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 290.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 377.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 377.2
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 87.95,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 92.35,
              "additional_payer_notes": "PHYSICIAN FEE SCHEDULE"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 87.95,
              "estimated_amount": 87.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 295.32
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 335.8
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 335.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 460
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 460,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 460,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 391
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 460,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 460,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 255.3
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 125.58
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 391
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 391
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 377.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 377.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 253
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 87.95,
              "estimated_amount": 87.95
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 87.95,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 92.35,
              "additional_payer_notes": "PHYSICIAN FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 290.72
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 87.95,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 88.83,
              "additional_payer_notes": "PHYSICIAN FEE SCHEDULE"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 87.95,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 92.35,
              "additional_payer_notes": "PHYSICIAN FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 87.95,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 92.35,
              "additional_payer_notes": "PHYSICIAN FEE SCHEDULE"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 391
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 295.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 351.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 460,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 255.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 295.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 295.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 295.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 460,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 391
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 290.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 377.2
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 87.95,
              "estimated_amount": 87.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 295.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 351.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 351.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 460,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 299
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 345
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 290.72
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 253
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 351.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 351.44
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 391
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 391
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 295.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 460,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 299.46
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 391
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 87.95,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 88.83,
              "additional_payer_notes": "PHYSICIAN FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 87.95,
              "estimated_amount": 87.95
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 460,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 404.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 377.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 253
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 87.95,
              "estimated_amount": 87.95
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 391
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 295.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 351.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 460,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 460,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 335.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 295.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 460,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 255.3
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 391
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 87.95,
              "estimated_amount": 87.95
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 381.34
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 460,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 290.72
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 381.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 460,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 460,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 345
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 255.3
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 87.95,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 87.95,
              "additional_payer_notes": "PHYSICIAN FEE SCHEDULE"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 303.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 295.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 460,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 460,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 299.46
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 345
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 377.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 253
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 87.95,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 88.83,
              "additional_payer_notes": "PHYSICIAN FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 87.95,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 88.83,
              "additional_payer_notes": "PHYSICIAN FEE SCHEDULE"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 381.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 460,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 460,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 391
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 460,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 372.14
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 87.95,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 87.95,
              "additional_payer_notes": "PHYSICIAN FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 403.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 253
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 87.95,
              "estimated_amount": 87.95
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 391
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 290.72
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 460,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 460,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 460,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 299.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 299.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 299.46
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 391
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 295.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 295.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 372.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 290.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 403.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 377.2
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 87.95,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 88.83,
              "additional_payer_notes": "PHYSICIAN FEE SCHEDULE"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 391
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 335.8
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 335.8
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 335.8
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 87.95,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 87.95,
              "additional_payer_notes": "PHYSICIAN FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 290.72
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 253
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 253
            }
          ],
          "minimum": 87.95,
          "maximum": 87.95
        }
      ]
    },
    {
      "description": "Hba1/Hba2, Gene Analysis; Full Gene Sequence Sendout",
      "code_information": [
        {
          "code": "PX-30101289",
          "type": "CDM"
        },
        {
          "code": "81259",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1371,
          "discounted_cash": 891.15,
          "minimum": 416.88,
          "maximum": 2250,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 613.25,
              "estimated_amount": 613.25
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 685.5
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 600,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 606,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1206.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2250,
              "estimated_amount": 2250
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1165.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 856.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 856.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2250,
              "estimated_amount": 2250
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1165.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1124.22
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 600,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 606,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 600,
              "estimated_amount": 600
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1371,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 600,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 630,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 856.88
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1000.83
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 600,
              "estimated_amount": 600
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1371,
              "additional_payer_notes": "REFERENCE LAB"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 856.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1371,
              "additional_payer_notes": "REFERENCE LAB"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 685.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1000.83
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 416.88,
              "estimated_amount": 416.88
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 600,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 600,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1371,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1124.22
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 600,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 606,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 600,
              "estimated_amount": 600
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1165.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1371,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 856.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2250,
              "estimated_amount": 2250
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 600,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 600,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 416.88,
              "estimated_amount": 416.88
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1165.35
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 685.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 685.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1124.22
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 754.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 754.05
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1165.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1371,
              "additional_payer_notes": "REFERENCE LAB"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 856.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 685.5
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1028.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 856.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2250,
              "estimated_amount": 2250
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 685.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 754.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 754.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 600,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 606,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 600,
              "estimated_amount": 600
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 600,
              "estimated_amount": 600
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 685.5
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 600,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 630,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1124.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2250,
              "estimated_amount": 2250
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 685.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1165.35
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 600,
              "estimated_amount": 600
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1165.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 856.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2250,
              "estimated_amount": 2250
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1028.25
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1165.35
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 600,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 630,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1165.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1371,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1124.22
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 685.5
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 600,
              "estimated_amount": 600
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 856.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2250,
              "estimated_amount": 2250
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1028.25
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 600,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 600,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 25,
              "estimated_amount": 342.75
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1165.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 856.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1371,
              "additional_payer_notes": "REFERENCE LAB"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2250,
              "estimated_amount": 2250
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2250,
              "estimated_amount": 2250
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 685.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1371,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 613.25,
              "estimated_amount": 613.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1124.22
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 754.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 754.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 600,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 606,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1371,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1124.22
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 300.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 856.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1371,
              "additional_payer_notes": "REFERENCE LAB"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2250,
              "estimated_amount": 2250
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2250,
              "estimated_amount": 2250
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1000.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2250,
              "estimated_amount": 2250
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1000.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1371,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1124.22
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 600,
              "estimated_amount": 600
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 600,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 630,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1371,
              "additional_payer_notes": "REFERENCE LAB"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2250,
              "estimated_amount": 2250
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2250,
              "estimated_amount": 2250
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2250,
              "estimated_amount": 2250
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 416.88,
              "estimated_amount": 416.88
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1165.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 856.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2250,
              "estimated_amount": 2250
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1000.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1371,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 600,
              "estimated_amount": 600
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2250,
              "estimated_amount": 2250
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1000.83
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 416.88,
              "estimated_amount": 416.88
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 891.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 754.05
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1165.35
            }
          ]
        }
      ]
    },
    {
      "description": "Hbb, Duplication/Deletion Variant(S) Sendout",
      "code_information": [
        {
          "code": "PX-30101298",
          "type": "CDM"
        },
        {
          "code": "81363",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 945,
          "discounted_cash": 614.25,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 597.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 828.77
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 783.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 721.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 721.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 721.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 615.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 524.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 721.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 524.48
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 803.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 597.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 774.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 774.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 759,
              "estimated_amount": 759
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 759,
              "estimated_amount": 759
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 764.51
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 524.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 759,
              "estimated_amount": 759
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 759,
              "estimated_amount": 759
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 803.25
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 257.99
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 803.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 828.77
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 774.9
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 803.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 597.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 519.75
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 783.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 606.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 606.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 759,
              "estimated_amount": 759
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 615.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 524.48
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 623.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 606.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 759,
              "estimated_amount": 759
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 615.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 597.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 774.9
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 803.25
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 803.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 606.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 759,
              "estimated_amount": 759
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 945
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 721.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 606.69
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 615.2
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 689.85
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 708.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 519.75
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 689.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 803.25
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 803.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 606.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 606.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 759,
              "estimated_amount": 759
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 764.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 774.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 519.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 519.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 615.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 606.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 606.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 606.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 759,
              "estimated_amount": 759
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 759,
              "estimated_amount": 759
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 759,
              "estimated_amount": 759
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 689.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 519.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 774.9
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 831.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 721.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 759,
              "estimated_amount": 759
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 689.85
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 614.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 606.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 606.69
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 803.25
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 803.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 774.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 597.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 597.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 774.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 759,
              "estimated_amount": 759
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 759,
              "estimated_amount": 759
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 759,
              "estimated_amount": 759
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 759,
              "estimated_amount": 759
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 689.85
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 708.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 519.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 519.75
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 783.41
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 803.25
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 708.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 759,
              "estimated_amount": 759
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 689.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 803.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 597.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 597.24
            }
          ],
          "minimum": 759,
          "maximum": 759
        }
      ]
    },
    {
      "description": "HC Inj Foam Sclerosant W Ultrasound Compression Extremity Single Vein",
      "code_information": [
        {
          "code": "PX-36100905",
          "type": "CDM"
        },
        {
          "code": "36465",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2988,
          "discounted_cash": 1942.2,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1888.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1888.42
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1607.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2477.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2282.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2988,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2181.24
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "estimated_amount": 2988
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2539.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2988,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2181.24
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "estimated_amount": 2988
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2477.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1888.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2450.16
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1607.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2988,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2988,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2988,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1945.19
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2988,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2988,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2241
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1918.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2417.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1945.19
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "estimated_amount": 2988
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1888.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1888.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1643.4
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1591.63,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 2629.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2620.48
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1643.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1643.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "estimated_amount": 2988
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1591.63,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2539.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1918.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1918.3
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2539.8
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2539.8
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2241
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 1942.2
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1671.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1591.63,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 654.37
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1888.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2450.16
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2539.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1918.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2417.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1945.19
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1591.63,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 815.72
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1972.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2988,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1643.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1643.4
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1591.63,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2477.05
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2539.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2988,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2181.24
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2539.8
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2539.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2988,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2988,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2988,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2181.24
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2539.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2450.16
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1607.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2539.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2450.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1918.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2282.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2282.83
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1671.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2988,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2539.8
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2181.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1918.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1918.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2988,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1945.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2620.48
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1643.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1607.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2988,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2450.16
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2988,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1918.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1918.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1918.3
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1591.63,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2539.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2282.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2988,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2988,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1643.4
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1591.63,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2241
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2450.16
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1591.63,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1591.63,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1671.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2282.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2988,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "estimated_amount": 2988
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2539.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1918.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2988,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2988,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2988,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1945.19
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2181.24
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2539.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1888.42
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1591.63,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1918.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2282.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1888.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2450.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2450.16
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1607.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1671.21,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "\"1 Pc Ctf Std Wear Cvx 5/8 - 1-5/16\"\" Wide Outlet\"",
      "code_information": [
        {
          "code": "PX-CH-CO16705",
          "type": "CDM"
        },
        {
          "code": "A4389",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2.51,
          "discounted_cash": 1.63,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.59
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.51,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.59
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.51,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.51,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2.51,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.06
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.51,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.59
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.06
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.38
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.51,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.51,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.59
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2.08
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.51,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 2.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.38
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2.08
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.63
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.83
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.51,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.39
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.83
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.69
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.38
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.51,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.06
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.51,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.51,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.83
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.51,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.63
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2.03
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.59
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.51,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.63
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.39
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.06
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.51,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2.08
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.51,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.51,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.51,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.92
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.63
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.51,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2.51,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.51,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.38
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.51,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.39
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.39
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.63
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2.03
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2.51
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.83
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.51,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Pulse Ox Overnight Study",
      "code_information": [
        {
          "code": "PX-46000013",
          "type": "CDM"
        },
        {
          "code": "94762",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 455,
          "discounted_cash": 295.75,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 399.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 373.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 250.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 292.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 455,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 368.1
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 332.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 292.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 292.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 455,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 455,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 332.15
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 341.25
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 386.75
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 143.15,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 287.56
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 250.25
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 136.33,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 136.33,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 292.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 455,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 386.75
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 300.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 347.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 292.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 455,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 296.21
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 455,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 373.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 137.7,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 137.7,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 292.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 347.62
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 295.75
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 386.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 347.62
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 252.53
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 386.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 287.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 373.1
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 143.15,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 455,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 455,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 455,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 455,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 455,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 296.21
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 332.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 347.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 292.11
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 136.33,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 250.25
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 377.2
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 136.33,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 287.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 373.1
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 377.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 292.11
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 455
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 252.53
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 252.53
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 386.75
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 386.75
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 386.75
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 455,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 455,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 455,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 455,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 455,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 287.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 287.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 373.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 373.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 137.7,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 292.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 347.62
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 386.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 368.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 296.21
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 332.15
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 136.33,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 252.53
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 386.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 373.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 250.25
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 136.33,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 143.15,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 292.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 296.21
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 136.33,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 386.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 292.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 455,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 399.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 287.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 287.56
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 250.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 136.33,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 143.15,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 455,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 400.4
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 341.25
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 136.33,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 455,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 332.15
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 386.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 455,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 455,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 455,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 455,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 296.21
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 332.15
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 124.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 373.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 137.7,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 377.2
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 386.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 292.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 347.62
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 341.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 287.56
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 250.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 250.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 137.7,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 136.33,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 386.75
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 386.75
            }
          ]
        }
      ]
    },
    {
      "description": "HC Ivus Coronary Each Addl Vessel",
      "code_information": [
        {
          "code": "PX-48000005",
          "type": "CDM"
        },
        {
          "code": "92979",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 3820,
          "discounted_cash": 2483,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2414.24
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3166.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2452.44
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3820,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3820,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3820,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3820,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2788.6
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3247
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3820,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2414.24
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3820,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3132.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2101
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2101
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3166.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2918.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2452.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3820,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3820,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2486.82
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2788.6
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3247
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2918.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3350.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2414.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2101
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2101
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3166.78
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3820,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2414.24
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3820,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3247
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3820,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3090.38
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2120.1
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3247
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3820,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2788.6
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3247
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3247
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3820,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2414.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2414.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3132.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3132.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3132.4
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 836.58
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2788.6
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3820,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3247
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3247
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2452.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3820,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3820,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2486.82
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2865
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3820,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3820,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3132.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2101
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3820,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3820,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 3361.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2452.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2452.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2486.82
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2120.1
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3247
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2452.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2452.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2452.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2486.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3350.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2414.24
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3820,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3820,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3247
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2865
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2452.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3820,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 2483
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2788.6
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2865
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2101
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3820,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3820,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3820,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3820,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3247
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2414.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3132.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3132.4
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3820,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2452.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3820,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3247
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2452.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2452.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2918.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2918.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3820,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3820,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2486.82
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2788.6
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1042.86
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2101
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3820,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3820,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3820,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3090.38
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 3820
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2120.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2120.1
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 2521.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2918.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3820,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3820,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3820,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2918.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3820,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3820,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3247
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3132.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3820,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3820,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3247
            }
          ]
        }
      ]
    },
    {
      "description": "HC Program Device Eval Dual Defib",
      "code_information": [
        {
          "code": "PX-48000011",
          "type": "CDM"
        },
        {
          "code": "93283",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 310,
          "discounted_cash": 201.5,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 195.92
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 254.2
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 310,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 199.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 199.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 310,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 310,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 201.81
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 226.3
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 263.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 310,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 250.79
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 32.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 271.87
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 254.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 170.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 195.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 170.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 33.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 32.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 310,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 199.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 310,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 201.81
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 84.63
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 263.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 236.84
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 172.05
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 263.5
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 310,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 195.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 170.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 33.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 33.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 32.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 226.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 310
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 236.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 199.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 199.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 195.92
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 254.2
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 33.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 263.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 195.92
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 254.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 256.99
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 256.99
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 256.99
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 34.56,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 232.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 310,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 226.3
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 263.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 310,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 201.81
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 226.3
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 263.5
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 310,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 32.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 310,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 254.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 254.2
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 32.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 32.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 236.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 236.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 310,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 201.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 199.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 310,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 310,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 232.5
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 263.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 195.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 195.92
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 254.2
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 32.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 310,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 310,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 263.5
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 32.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 263.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 236.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 310,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 310,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 250.79
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 226.3
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 232.5
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 34.56,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 34.56,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 310,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 263.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 199.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 199.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 199.02
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 201.81
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 201.5
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 204.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 199.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 310,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 32.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 172.05
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 172.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 33.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 272.8
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 263.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 195.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 271.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 199.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 310,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 226.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 199.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 310,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 172.05
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 263.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 263.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 254.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 170.5
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 32.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 34.56,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 236.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 310,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 263.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 170.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 170.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 170.5
            }
          ]
        }
      ]
    },
    {
      "description": "HC Program Sq CRM Incl Retreival Report",
      "code_information": [
        {
          "code": "PX-48000013",
          "type": "CDM"
        },
        {
          "code": "93285",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 161,
          "discounted_cash": 104.65,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 101.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 132.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 161,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 161,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 117.53
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 89.36
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 136.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 103.36
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 104.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 130.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 104.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 101.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 88.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 132.02
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 88.55
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 133.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 103.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 103.36
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 161
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 103.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 103.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 161,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 104.81
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 132.02
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 88.55
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 133.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 101.75
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 141.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 103.36
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 89.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 103.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 161,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 161,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 161,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 89.36
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 136.85
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 120.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 141.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 103.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 161,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 136.85
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 136.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 123
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 103.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 161,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 161,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 161,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 136.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 103.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 161,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 117.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 141.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 88.55
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 136.85
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 136.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 101.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 123
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 103.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 123
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 161,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 104.81
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 43.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 123
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 123
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 161,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 161,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 104.81
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 117.53
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 120.75
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 106.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 101.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 101.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 132.02
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 133.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 101.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 101.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 132.02
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 88.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 161,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 161,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 136.85
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 104.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 120.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 132.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 132.02
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 136.85
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 136.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 161,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 117.53
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 89.36
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 136.85
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 136.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 123
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 103.36
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 117.53
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 132.02
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 88.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 88.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 130.25
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 117.53
            }
          ]
        }
      ]
    },
    {
      "description": "HC Interrogation Pacer Defib Remote",
      "code_information": [
        {
          "code": "PX-48000019",
          "type": "CDM"
        },
        {
          "code": "93296",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 108,
          "discounted_cash": 70.2,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 94.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 68.26
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 33.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 69.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 108,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 59.94
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 91.8
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 91.8
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 71.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 69.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 108,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 59.94
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 91.8
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 91.8
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 91.8
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 108,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 88.56
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 32.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 68.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 108,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 70.31
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 78.84
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 59.94
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 91.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 82.51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 70.31
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 88.56
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 59.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 59.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 59.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 33.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 32.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 68.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 88.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 88.56
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 59.4
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 33.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 69.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 108,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 108,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 108,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 32.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 29.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 69.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 108,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 108,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 70.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 68.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 88.56
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 59.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 33.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 108,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 91.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 69.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 108,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 108,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 108,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 91.8
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 32.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 81
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 88.56
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 59.4
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 89.53
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 34.56,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 108,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 94.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 68.26
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 33.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 108,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 78.84
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 78.84
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 69.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 69.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 82.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 108,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 108,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 78.84
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 108
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 88.56
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 32.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 34.56,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 32.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 34.56,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 32.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 91.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 108,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 87.37
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 70.2
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 91.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 69.34
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 32.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 91.8
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 108,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 89.53
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 108,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 91.8
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 89.53
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 32.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 82.51
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 59.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 69.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 69.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 108,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 87.37
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 78.84
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 91.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 68.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 68.26
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 32.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 88.56
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 59.4
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 91.8
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 95.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 69.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 82.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 69.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 82.51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 70.31
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 34.56,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 82.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 108,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 70.31
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 78.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 68.26
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 108,
              "additional_payer_notes": "ALL OTHER OP"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Intravent Intra Atrial Mapping",
      "code_information": [
        {
          "code": "PX-48000027",
          "type": "CDM"
        },
        {
          "code": "93609",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 13300,
          "discounted_cash": 8645,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 11664.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8405.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7315
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 13300,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 13300,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 10161.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 10161.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8538.6
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 9709
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8538.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8538.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13300,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 8658.3
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 9709
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11305
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 10906
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8405.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7315
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 13300,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8538.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 10759.7
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 9709
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 7381.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 11664.1
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 11025.7
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 13300,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11305
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 13300,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8538.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 10161.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13300,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13300,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13300,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 7381.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11305
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11305
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8405.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 10906
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 10906
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7315
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7315
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 13300,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 13300,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 13300,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 9975
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 11704
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13300,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13300,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13300,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 10161.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13300,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13300,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 8658.3
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 13300,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 8645
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8405.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8405.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8405.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 13300,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 10906
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 10906
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 13300,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11305
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11305
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13300,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 8658.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 8658.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 7381.5
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 3630.9
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 9975
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8405.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 10906
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 10906
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 13300,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 13300,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13300,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13300,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 13300,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8538.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 10161.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13300,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 13300,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8405.6
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 13300,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8538.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8538.6
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 9709
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 9709
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 9975
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8538.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8538.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13300,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 13300
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 7381.5
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 13300,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11305
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 8778
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7315
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 13300,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 11025.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7315
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 13300,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 13300,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11305
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 10759.7
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 9709
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11305
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11305
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11305
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11305
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 10161.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8538.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8538.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13300,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13300,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 8658.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 10906
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 13300,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 11025.7
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 13300,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 2912.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13300,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11305
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 13300,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7315
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 13300,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11305
            }
          ]
        }
      ]
    },
    {
      "description": "HC External Counterpulsation",
      "code_information": [
        {
          "code": "PX-48000053",
          "type": "CDM"
        },
        {
          "code": "G0166",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 6906,
          "discounted_cash": 4488.9,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4364.59
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 111.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 117.06,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 6906,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6906,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3832.83
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 111.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5870.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 5276.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6906,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6906,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5041.38
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5870.1
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5870.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5662.92
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 112.6,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 112.6,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 6906,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5662.92
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5662.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4433.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4495.81
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 111.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1885.34
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5870.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4433.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4433.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 5276.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6906,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 5586.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5662.92
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 112.6,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 5725.07
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 111.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 111.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 111.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 117.06,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4364.59
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3798.3
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5870.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4433.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6906,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5041.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 5276.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 5276.18
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 5586.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4364.59
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 117.06,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5870.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 6056.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4364.59
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 112.6,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 117.06,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5870.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4495.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4495.81
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 6906,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4433.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4433.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 5276.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6906,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3832.83
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 5179.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5662.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3798.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3798.3
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 5725.07
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5870.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6906,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6906,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6906,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4495.81
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5041.38
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3832.83
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 6906
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 4488.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 6056.56
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 5725.07
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 1512.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4364.59
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5662.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3798.3
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 111.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 6077.28
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 4557.96
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5870.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4433.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6906,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5041.38
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 111.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5870.1
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5870.1
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 5179.5
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5870.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5662.92
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 6906,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4364.59
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3798.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4433.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6906,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6906,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6906,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5041.38
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5041.38
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5870.1
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5870.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4433.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4495.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4364.59
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3798.3
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 111.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 5179.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 5276.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4433.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6906,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 6906,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4433.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6906,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3832.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4364.59
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5662.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3798.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 112.6,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4433.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6906,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6906,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 111.49,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Percutaneous Balloon Valvoplasty Pulm",
      "code_information": [
        {
          "code": "PX-48100015",
          "type": "CDM"
        },
        {
          "code": "92990",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 15950,
          "discounted_cash": 10367.5,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10080.4
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13557.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10239.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15950,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 8852.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15950,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15950,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 12903.55
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13557.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 13988.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10080.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13079
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10239.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10239.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10239.9
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 8852.25
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13557.5
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 11962.5
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 10527
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10239.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10239.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10239.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15950,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15950,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11643.5
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13557.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10080.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8772.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8772.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10080.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13079
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13079
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13557.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10239.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10239.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10383.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 12903.55
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 11962.5
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 10367.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10080.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13079
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13079
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 13222.55
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 13222.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10239.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15950,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15950,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11643.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 15950
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15950,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15950,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10080.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8772.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15950,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12185.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12185.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10239.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15950,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10383.45
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13557.5
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13557.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 13222.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 13988.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8772.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8772.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8772.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15950,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 11962.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 8852.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12185.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15950,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15950,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10383.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10383.45
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 4354.35
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13557.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10080.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13079
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8772.5
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13557.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15950,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15950,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10383.45
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13557.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12185.8
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13557.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13079
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12185.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15950,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11643.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11643.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 8852.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12185.8
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11643.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11643.5
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13557.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10239.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10080.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13079
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 14036
            }
          ]
        }
      ]
    },
    {
      "description": "HC Revasc Occ During Mi De Stent Sgl",
      "code_information": [
        {
          "code": "PX-48100041",
          "type": "CDM"
        },
        {
          "code": "C9606",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 20699,
          "discounted_cash": 13454.35,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 13081.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 13081.77
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11384.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20699,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 13475.05
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 15110.27
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17594.15
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17594.15
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17594.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 15814.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20699,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 15110.27
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "estimated_amount": 20699
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 16973.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 16973.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 16973.18
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 17159.47
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 4533.08
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17594.15
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17594.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20699,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20699,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 13475.05
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 15110.27
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 15524.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20699,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 15110.27
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "estimated_amount": 20699
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 5650.83
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 20699,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17594.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 16973.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 13081.77
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 16973.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13288.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13288.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 13475.05
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17594.15
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 15524.25
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 13661.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20699,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20699,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 13475.05
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17594.15
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17594.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 18153.02
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 17159.47
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 20699,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13288.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 15814.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 15814.04
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17594.15
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17594.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13288.76
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "estimated_amount": 20699
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 13081.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 13081.77
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11384.45
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 20699,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 20699,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 15524.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 16973.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13288.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13288.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20699,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20699,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 15814.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13288.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20699,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 13081.77
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11384.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11384.45
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 18215.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13288.76
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 15110.27
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11384.45
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17594.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 18153.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 16973.18
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11384.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13288.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 15814.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 15814.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13288.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20699,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20699,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20699,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17594.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 13081.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 13081.77
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 16973.18
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11384.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13288.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20699,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20699,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20699,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 16745.49
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 15110.27
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "estimated_amount": 20699
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13288.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 13475.05
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 20699,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17594.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20699,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 16745.49
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "estimated_amount": 20699
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 13454.35
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 17159.47
            }
          ]
        }
      ]
    },
    {
      "description": "HC Echo Color Flow Velocity Mapping Add On",
      "code_information": [
        {
          "code": "PX-48300011",
          "type": "CDM"
        },
        {
          "code": "93325",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 222,
          "discounted_cash": 144.3,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 140.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 122.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 142.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 222,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 222,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 222,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 144.52
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 188.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 140.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 182.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 122.1
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 222,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 222,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 162.06
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 146.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 142.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 142.52
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 166.5
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 222,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 188.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 140.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 140.3
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 184.04
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 184.04
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 222,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 222,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 142.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 222,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 222,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 162.06
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 162.06
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 222,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 188.7
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 144.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 222,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 222,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 122.1
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 222,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 182.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 122.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 222,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 169.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 169.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 222,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 123.21
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 188.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 142.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 169.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 144.52
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 123.21
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 222,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 123.21
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 182.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 182.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 122.1
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 222,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 142.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 169.61
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 162.06
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 222
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 169.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 142.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 222,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 60.61
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 188.7
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 188.7
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 188.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 194.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 140.3
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 222,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 222,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 188.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 140.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 140.3
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 184.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 142.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 222,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 222,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 222,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 188.7
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 222,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 142.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 222,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 222,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 144.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 144.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 144.52
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 166.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 182.04
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 222,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 195.36
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 166.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 222,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 222,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 222,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 179.6
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 188.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 222,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 162.06
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 188.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 182.04
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 222,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 194.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 140.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 182.04
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 222,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 222,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 169.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 142.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 142.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 142.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 222,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 179.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 123.21
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 188.7
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 222,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 188.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 182.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 122.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 122.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 222,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 222,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 222,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 188.7
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 162.06
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 222,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 222,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Phlebotomy Therapeutic",
      "code_information": [
        {
          "code": "PX-51000044",
          "type": "CDM"
        },
        {
          "code": "99195",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 473,
          "discounted_cash": 307.45,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 298.94
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 260.15
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 402.05
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 354.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 361.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 473,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 345.29
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 354.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 361.37
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 262.52
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 473,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 298.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 387.86
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 392.12
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 111.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 387.86
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 112.6,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 111.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 117.06,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 416.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 303.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 303.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 303.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 473,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 473,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 473,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 473,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 345.29
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 402.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 473,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 402.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 298.94
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 111.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 298.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 298.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 303.67
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 382.66
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 111.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 473,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 307.92
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 345.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 414.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 260.15
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 117.06,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 111.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 117.06,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 112.6,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 361.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 303.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 361.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 473,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 307.92
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 262.52
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 129.13
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 402.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 303.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 473,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 473,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 473
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 402.05
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 473,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 402.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 387.86
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 260.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 260.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 112.6,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 473,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 298.94
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 112.6,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 111.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 473,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 345.29
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 345.29
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 312.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 387.86
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 387.86
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 387.86
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 260.15
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 392.12
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 111.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 117.06,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 473,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 402.05
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 354.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 303.67
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 112.6,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 473,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 402.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 387.86
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 260.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 303.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 473,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 473,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 382.66
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 402.05
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 402.05
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 402.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 361.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 303.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 303.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 473,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 262.52
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 111.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 402.05
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 307.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 298.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 387.86
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 260.15
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 473,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 402.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 414.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 303.67
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 345.29
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 111.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 361.37
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 307.92
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 307.92
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 307.92
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 262.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 298.94
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 111.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 303.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 473,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 473,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 402.05
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 392.12
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 473,
              "additional_payer_notes": "ALL OTHER OP"
            }
          ]
        }
      ]
    },
    {
      "description": "HC MRI Tmj",
      "code_information": [
        {
          "code": "PX-61100001",
          "type": "CDM"
        },
        {
          "code": "70336",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1767,
          "discounted_cash": 1148.55,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 1293.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1549.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 1293.44
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 213.87,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 224.56,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1501.95
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1501.95
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.5,
              "estimated_amount": 1298.75
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1501.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1501.95
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1767,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1448.94
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 224.56,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 216,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 1293.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1448.94
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 213.87,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1300.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1767,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1767,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1767,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1767,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1767
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1448.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1448.94
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 216,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 216,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1767,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1289.91
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1166.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1300.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1300.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1349.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1767,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1767,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1767,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1767,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1289.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 1293.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1448.94
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1501.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1300.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1349.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1300.51
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1501.95
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1767,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1325.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1429.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1289.91
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1501.95
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1501.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1448.94
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 971.85
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1767,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 224.56,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1325.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 1293.44
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 213.87,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1349.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1767,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1767,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.5,
              "estimated_amount": 1298.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1349.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1300.51
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1289.91
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1501.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 1293.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1448.94
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 971.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 971.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 216,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 224.56,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1300.51
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1289.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1300.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1767,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1767,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.5,
              "estimated_amount": 1298.75
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1501.95
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 1148.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1549.66
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 216,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1464.84
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 971.85
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1464.84
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 213.87,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1767,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1349.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1767,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1767,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1289.91
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.5,
              "estimated_amount": 1298.75
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 213.87,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1325.25
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1501.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1150.32
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 482.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 1293.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 971.85
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1464.84
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 213.87,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1554.96
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1501.95
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 213.87,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 386.97
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1767,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1300.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1300.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1767,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1150.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1429.5
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 213.87,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1300.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1300.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1767,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1150.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1150.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1448.94
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 971.85
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 213.87,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1349.99
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1150.32
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 213.87,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1501.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 1293.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 971.85
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1501.95
            }
          ]
        }
      ]
    },
    {
      "description": "HC MRI Chest W WO Contrast",
      "code_information": [
        {
          "code": "PX-61400003",
          "type": "CDM"
        },
        {
          "code": "71552",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2528,
          "discounted_cash": 1643.2,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 1850.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 335.65,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 335.65,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2148.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1860.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1931.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2528,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1645.73
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1645.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2528,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1645.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1845.44
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2148.8
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2148.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 1850.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2095.71
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 553.63
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2528,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1860.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1860.61
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2528,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1931.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2528,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 1850.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 339.01,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2148.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 1850.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1860.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1860.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2528,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1668.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1860.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2528,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2528,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1845.44
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2148.8
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 335.65,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2528,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2072.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1390.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1390.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 339.01,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2528,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2148.8
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1896
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1931.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2528,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2528,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1645.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1845.44
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.5,
              "estimated_amount": 1858.08
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2095.71
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2095.71
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2072.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1390.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1390.4
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 335.65,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 352.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 339.01,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1860.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2528,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.5,
              "estimated_amount": 1858.08
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 335.65,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2148.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1931.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2528,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2045.15
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1845.44
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1845.44
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2148.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2072.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1390.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 339.01,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 339.01,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 335.65,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 1850.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2072.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1860.61
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1896
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1645.73
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 335.65,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 690.14
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.5,
              "estimated_amount": 1858.08
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.5,
              "estimated_amount": 1858.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2217.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2072.96
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 335.65,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1860.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1860.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2528,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2528,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2045.15
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2148.8
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2148.8
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2148.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2217.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 1850.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1390.4
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 352.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2148.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 1850.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2072.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1390.4
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 352.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2528,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 2224.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1860.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2528,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2528,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2528,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2148.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1860.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1931.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2528,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2528
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2148.8
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1896
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 1850.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2072.96
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 352.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 335.65,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1931.39
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1845.44
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 335.65,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2528,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 1643.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2072.96
            }
          ]
        }
      ]
    },
    {
      "description": "HC MRI Breast Unilat WO Contrast",
      "code_information": [
        {
          "code": "PX-61400031",
          "type": "CDM"
        },
        {
          "code": "77046",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2053,
          "discounted_cash": 1334.45,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 1502.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1800.48
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1683.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1683.46
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 216,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1701.94
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 449.61
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2053,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1511.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1511.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1511.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2053,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2053,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1568.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2053,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1745.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 1502.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1683.46
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1129.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1129.15
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 219.81,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1745.05
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1745.05
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1806.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1800.48
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 216,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 219.81,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 216,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 219.81,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1498.69
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 560.47
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1745.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2053,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2053,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2053,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1336.5
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1539.75
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1745.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 1502.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1129.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1129.15
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1745.05
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1745.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1511.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2053,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2053,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2053,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1745.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1511.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1511.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2053,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1336.5
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1354.98
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 216,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 209.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1683.46
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 216,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1511.01
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 209.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1745.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1568.49
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1498.69
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1683.46
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1129.15
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1701.94
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 209.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 209.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2053,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2053,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2053,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1498.69
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.5,
              "estimated_amount": 1508.96
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2053,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 1502.8
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 209.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2053,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 209.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1511.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1511.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1568.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1511.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1568.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2053,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1498.69
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 1334.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1511.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1568.49
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1336.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1660.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1336.5
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 209.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 1502.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1683.46
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2053,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 1502.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 1502.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1129.15
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 219.81,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1511.01
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1498.69
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.5,
              "estimated_amount": 1508.96
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1745.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1568.49
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1498.69
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2053
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.5,
              "estimated_amount": 1508.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 1502.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1683.46
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1129.15
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 209.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1539.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2053,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2053,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1660.88
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.5,
              "estimated_amount": 1508.96
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 209.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1745.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2053,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1336.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1745.05
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1539.75
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1745.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1683.46
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1701.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2053,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1745.05
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 209.35,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Mra Upper Extremity W WO Contrast",
      "code_information": [
        {
          "code": "PX-61800002",
          "type": "CDM"
        },
        {
          "code": "73225",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2405,
          "discounted_cash": 1563.25,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 1760.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 1760.46
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 339.01,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 335.65,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2405,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2405,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2405,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1755.65
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2044.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1837.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1770.08
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.5,
              "estimated_amount": 1767.68
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 656.57
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2044.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1972.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 1760.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 1760.46
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1993.75
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 246.7,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 259.04,
              "additional_payer_notes": "PHYSICIAN FEE SCHEDULE"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2405,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2405,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2405,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1565.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1565.66
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2405
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2044.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1837.42
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 335.65,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2044.25
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1587.3
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 526.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 1760.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 1760.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1972.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1322.75
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1993.75
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 335.65,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 335.65,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1837.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1770.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2405,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2405,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1945.65
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1755.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1803.75
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2405,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1770.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1770.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1565.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1945.65
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2044.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1972.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1322.75
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 335.65,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2044.25
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 2116.4
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2044.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1770.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2405,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2405,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.5,
              "estimated_amount": 1767.68
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 1563.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1837.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1770.08
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.5,
              "estimated_amount": 1767.68
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2044.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2109.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2109.19
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 339.01,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1993.75
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 339.01,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 1760.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1972.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1972.1
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 246.7,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 259.04,
              "additional_payer_notes": "PHYSICIAN FEE SCHEDULE"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2044.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1770.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2405,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1770.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1770.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2405,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2405,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2405,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1755.65
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1755.65
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1322.75
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 335.65,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 335.65,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1770.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2405,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1755.65
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1755.65
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2405,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1770.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1770.08
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.5,
              "estimated_amount": 1767.68
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2044.25
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2044.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 1760.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1972.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1322.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 339.01,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 335.65,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2405,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1322.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1322.75
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 352.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1565.66
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2044.25
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1803.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1837.42
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 335.65,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2044.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1972.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1322.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 339.01,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1803.75
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2405,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1837.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2405,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2405,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2405,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1565.66
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 335.65,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1972.1
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2044.25
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 352.43,
              "additional_payer_notes": "OPPS APC"
            }
          ],
          "minimum": 246.7,
          "maximum": 246.7
        }
      ]
    },
    {
      "description": "HC Eeg Awake and Asleep",
      "code_information": [
        {
          "code": "PX-74000004",
          "type": "CDM"
        },
        {
          "code": "95819",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1815,
          "discounted_cash": 1179.75,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1147.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1147.08
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1815,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1815,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1542.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1165.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1165.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1815,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1815,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1815,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1007.33
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1197.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1488.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1147.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1488.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1165.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1815,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1324.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1386.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1165.23
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1007.33
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1542.75
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1542.75
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1542.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 998.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 998.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 276.69,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 287.65,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 268.16,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1488.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 998.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 273.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1386.66
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1324.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1165.23
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1542.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1147.08
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 273.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 287.65,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1361.25
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 273.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 287.65,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 276.69,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1597.2
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1542.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1468.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1165.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1815,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1815,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1181.57
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1181.57
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1815
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1542.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 998.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 276.69,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 397.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1591.76
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 273.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1815,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1815,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1815,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1181.57
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 268.16,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1542.75
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1815,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1165.23
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1324.95
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 1179.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1488.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1488.3
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1504.64
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 287.65,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1815,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1147.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1488.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1488.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 276.69,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1504.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1386.66
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1542.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1815,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 268.16,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1542.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1165.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1386.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1815,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1815,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1324.95
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 268.16,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1542.75
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1815,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1542.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 998.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1386.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1165.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1815,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1815,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1007.33
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1542.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1361.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1815,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1468.34
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1815,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1147.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1147.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1147.08
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 276.69,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 268.16,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1591.76
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1504.64
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 273.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1542.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1165.23
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1324.95
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1007.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1386.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1165.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1165.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1815,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1181.57
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1324.95
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 495.5
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1361.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1488.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 998.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1181.57
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 998.25
            }
          ]
        }
      ]
    },
    {
      "description": "HC Electrocorticogram at Surgery",
      "code_information": [
        {
          "code": "PX-74000007",
          "type": "CDM"
        },
        {
          "code": "95829",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 11303,
          "discounted_cash": 7346.95,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7143.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9268.46
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 6273.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7256.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11303,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7358.25
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8251.19
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9607.55
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 8477.25
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9607.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9268.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9268.46
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6216.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9268.46
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6216.65
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6216.65
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9607.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7256.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11303,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7358.25
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9607.55
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 7346.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8635.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11303,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8251.19
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 6273.17
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9607.55
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 9370.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7143.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7143.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 9370.19
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9607.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7256.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8635.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7256.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 9144.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 9144.13
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 6273.17
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7358.25
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8251.19
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9607.55
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 9946.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7143.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9268.46
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9607.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11303,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8251.19
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9607.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7256.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7256.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 9912.73
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6216.65
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6216.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 9912.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7143.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7256.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7256.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11303,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8251.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8635.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11303,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11303,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11303,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9607.55
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 3085.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7143.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9268.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7256.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11303,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11303,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7358.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8635.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8635.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11303,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7143.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 9370.19
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9607.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9268.46
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 8477.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7256.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11303,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11303,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11303,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8251.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9268.46
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6216.65
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6216.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7256.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11303,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11303,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 6273.17
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 8477.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8635.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11303,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7358.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 11303
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 7459.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7143.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7256.53
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9607.55
            }
          ]
        }
      ]
    },
    {
      "description": "HC Egd W/Tumor/Polyp Remove Snare",
      "code_information": [
        {
          "code": "PX-75000027",
          "type": "CDM"
        },
        {
          "code": "43251",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 5335,
          "discounted_cash": 3467.75,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3371.72
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4422.72
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4534.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4075.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4075.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 3409.07
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3894.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 3409.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66.2,
              "estimated_amount": 3531.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 3409.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4678.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2934.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2934.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3371.72
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2934.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3425.07
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3473.09
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4534.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4001.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3425.07
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3894.55
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3894.55
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5335,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4001.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2934.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2934.25
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4422.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3425.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4075.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 3409.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66.2,
              "estimated_amount": 3531.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3473.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4316.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3371.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4374.7
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 4694.8
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4534.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4075.94
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3894.55
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4534.75
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1456.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4075.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3425.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3425.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 3409.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66.2,
              "estimated_amount": 3531.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 3409.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 3409.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3371.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4374.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4374.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3371.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4374.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3425.07
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5335,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5335,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4534.75
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5335,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4075.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3425.07
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4534.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3371.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4678.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3371.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4374.7
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4534.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3371.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3425.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3425.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66.2,
              "estimated_amount": 3531.77
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5335,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4534.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 3409.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 3409.07
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3473.09
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3894.55
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4534.75
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 3521.1
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4534.75
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5335,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2934.25
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 1168.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3425.07
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3894.55
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4534.75
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5335,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 3409.07
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4534.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4374.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2934.25
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4422.72
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4001.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 3409.07
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3473.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3473.09
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5335,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3425.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 3409.07
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4316.02
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4534.75
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 3467.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4374.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3425.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 3409.07
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5335,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4534.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4374.7
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5335,
              "additional_payer_notes": "OUTPATIENT"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Ileoscopy Thru Stoma",
      "code_information": [
        {
          "code": "PX-75000061",
          "type": "CDM"
        },
        {
          "code": "44380",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 5056,
          "discounted_cash": 3286.4,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3195.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3862.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66.2,
              "estimated_amount": 5056
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 5056
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3690.88
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3690.88
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3792
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3245.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3245.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4145.92
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4145.92
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4145.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2780.8
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3792
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3245.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3245.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3862.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66.2,
              "estimated_amount": 5056
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3690.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3195.39
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4297.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3195.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3862.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3245.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3862.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66.2,
              "estimated_amount": 5056
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3291.46
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5056,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4090.3
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3690.88
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5056,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3792
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4145.92
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4145.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2780.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2780.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3245.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 5056
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5056,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4297.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3245.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3245.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 5056
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4090.3
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3690.88
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4297.6
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4297.6
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 4449.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3195.39
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2780.8
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4191.42
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4297.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3862.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3245.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3245.95
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4297.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3245.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 5056
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4297.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4434.11
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2780.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2780.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3195.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4145.92
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4191.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3245.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 5056
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4297.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66.2,
              "estimated_amount": 5056
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 5056
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3690.88
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1380.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4434.11
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2780.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3195.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4145.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 5056
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3291.46
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5056,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4297.6
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4297.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 5056
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 5056
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3291.46
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5056,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4297.6
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 3286.4
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4191.42
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4297.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 5056
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 5056
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3291.46
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 3336.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 5056
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3195.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3195.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4145.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3862.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 5056
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3291.46
            }
          ]
        }
      ]
    },
    {
      "description": "HC Colonoscopy Thru Stoma",
      "code_information": [
        {
          "code": "PX-75000066",
          "type": "CDM"
        },
        {
          "code": "44388",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 4665,
          "discounted_cash": 3032.25,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2948.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4091.21
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2565.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2565.75
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3965.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3564.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3564.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 2980.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3036.92
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3405.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4665,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2994.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2994.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3036.92
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3405.45
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4665,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2948.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3825.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3825.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2994.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3773.99
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3965.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2994.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 2980.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 2980.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2948.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 2980.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 2980.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 2980.94
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4665,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3965.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2994.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2994.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 2980.94
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3965.25
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3867.29
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 1021.64
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2565.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 2980.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 2980.94
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3405.45
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4665,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66.2,
              "estimated_amount": 3088.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66.2,
              "estimated_amount": 3088.23
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3498.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3825.3
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4665,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3498.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2948.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3825.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2565.75
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3965.25
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3965.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 2980.94
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3405.45
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3965.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3564.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2994.93
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3965.25
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3965.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3825.3
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4665,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3825.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 2980.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3036.92
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3405.45
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3498.75
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 3032.25
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 3078.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3564.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66.2,
              "estimated_amount": 3088.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3773.99
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2948.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2948.28
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3867.29
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4665,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3965.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4091.21
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2565.75
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 4105.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2994.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 2980.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 2980.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3036.92
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3965.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4665,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3965.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2948.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3825.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3825.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2948.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2565.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2994.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2994.93
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4665,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3965.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3564.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2994.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3564.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3036.92
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3405.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4665,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1273.55
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3867.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2994.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66.2,
              "estimated_amount": 3088.23
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3965.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2565.75
            }
          ]
        }
      ]
    },
    {
      "description": "HC Dialysis Esrd Unsched Emerg OP",
      "code_information": [
        {
          "code": "PX-88000002",
          "type": "CDM"
        },
        {
          "code": "G0257",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 6100,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 5349.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3855.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3855.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3855.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3855.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 5349.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3855.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3855.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3855.2
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 4026
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3855.2
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 6100,
          "discounted_cash": 3965,
          "payers_information": [
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 640.4,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3916.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6100,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 6100
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4575
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6100,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6100,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5185
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5002
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5002
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 609.9,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3916.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4660.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3916.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3385.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4453
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4453
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5185
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3355
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 616,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 609.9,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 640.4,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3355
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 5056.9
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 640.4,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 1335.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3916.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6100,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3971.1
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4453
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3385.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3385.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3916.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6100,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6100,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4934.9
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4453
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5185
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5002
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5185
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5002
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5002
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3355
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 640.4,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5185
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3916.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6100,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5185
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 6100,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6100,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6100,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6100,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3971.1
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5185
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5185
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5002
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3355
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5002
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 609.9,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 609.9,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4660.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3916.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4660.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6100,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6100,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3971.1
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 609.9,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4660.4
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4453
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5185
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3355
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 616,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4575
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3916.2
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 6100,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6100,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3971.1
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 609.9,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6100,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3971.1
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5185
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3355
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 5056.9
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 5056.9
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5185
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3355
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 609.9,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 609.9,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 616,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4660.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3916.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6100,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4934.9
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 6100,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 3965
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3916.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 616,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 609.9,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 6100,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 6100,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4660.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6100,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 609.9,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1665.3
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5185
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4575
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3916.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3916.2
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4453
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3385.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5185
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 5368
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6100,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5002
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 616,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5185
            }
          ]
        }
      ]
    },
    {
      "description": "HC Duplex Scan Abd Pelvic Retroperit Arteries Ltd",
      "code_information": [
        {
          "code": "PX-92100018",
          "type": "CDM"
        },
        {
          "code": "93976",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 984,
          "discounted_cash": 639.6,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 621.89
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 815.74
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 984,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 836.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 631.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 984,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 718.32
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 984,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 631.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 984,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 836.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 621.89
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 806.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 806.88
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 96.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 100.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 100.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 836.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 621.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 621.89
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 96.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 631.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 718.32
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 268.63
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 738
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 631.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 984,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 984,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 862.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 621.89
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 541.2
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 751.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 751.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 631.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 984,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 984,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 631.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 984,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 984,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 639.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 96.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 621.89
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 806.88
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 541.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 640.58
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 836.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 631.73
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 836.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 806.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 806.88
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 96.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 984,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 96.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 836.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 621.89
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 541.2
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 631.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 984,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 984,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 640.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 796.06
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 546.12
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 836.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 751.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 984,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 640.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 640.58
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 718.32
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 546.12
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 546.12
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 836.4
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 836.4
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 836.4
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 836.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 862.97
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 815.74
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 984,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 984,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 984,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 718.32
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 649.44
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 984
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 621.89
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 806.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 806.88
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 541.2
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 738
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 751.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 984,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 984,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 984,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 631.73
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 640.58
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 718.32
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 546.12
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 836.4
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 865.92
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 806.88
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 541.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 815.74
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 836.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 631.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 751.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 984,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 796.06
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 836.4
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 738
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 631.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 631.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 718.32
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 984,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 541.2
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 100.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 100.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 751.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 984,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 541.2
            }
          ]
        }
      ]
    },
    {
      "description": "HC Duplex Scan Penile Vessels Limited",
      "code_information": [
        {
          "code": "PX-92100022",
          "type": "CDM"
        },
        {
          "code": "93981",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 749,
          "discounted_cash": 486.85,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 473.37
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 473.37
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 614.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 480.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 749,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 605.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 572.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 572.24
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 487.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 487.6
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 636.65
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 636.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 473.37
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 614.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 614.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 614.18
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 620.92
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 636.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 487.6
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 546.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 572.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 572.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 749,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 487.6
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 546.77
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 546.77
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 546.77
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 636.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 473.37
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 659.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 480.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 480.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 749,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 636.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 480.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 480.86
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 415.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 411.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 614.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 749,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 749,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 546.77
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 415.7
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 636.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 480.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 749,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 749,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 204.48
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 614.18
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 411.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 411.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 411.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 487.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 749
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 561.75
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 486.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 473.37
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 614.18
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 411.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 480.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 749,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 749,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 749,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 749,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 546.77
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 636.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 749,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 636.65
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 494.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 473.37
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 620.92
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 636.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 473.37
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 561.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 749,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 749,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 605.94
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 415.7
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 636.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 480.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 480.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 749,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 749,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 415.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 411.95
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 620.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 473.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 480.86
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 561.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 480.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 480.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 572.24
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 636.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 656.87
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 614.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 572.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 749,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 636.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 656.87
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 411.95
            }
          ]
        }
      ]
    },
    {
      "description": "HC Nch Neonate Services 16-30 Min",
      "code_information": [
        {
          "code": "PX-94000002",
          "type": "CDM"
        },
        {
          "code": "94000002",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 194,
          "discounted_cash": 126.1,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 122.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 122.61
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 159.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 148.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 125.91
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 107.67
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 164.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 122.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 122.61
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 106.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 124.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 125.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 121.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 121.83
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 141.62
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 145.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 148.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 124.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 125.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 121.83
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 156.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 156.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 106.7
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 164.9
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 145.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 124.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 125.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 121.83
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 107.67
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 164.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 121.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 121.83
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 194
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 159.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 124.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 121.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 121.83
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 164.9
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 126.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 124.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 148.22
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 126.29
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 141.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 170.14
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 164.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 124.55
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 164.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 124.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 124.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 126.29
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 164.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 122.61
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 106.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 159.08
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 106.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 106.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 148.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 121.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 121.83
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 126.29
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 141.62
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 164.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 159.08
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 160.83
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 164.9
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 164.9
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 160.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 148.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 148.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 121.83
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 126.29
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 52.96
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 164.9
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 145.5
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 128.04
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 164.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 124.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 121.83
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 141.62
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 141.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 122.61
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 159.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 159.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 170.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 159.08
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 106.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 124.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 124.55
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 141.62
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 107.67
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 107.67
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 122.61
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 159.08
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 106.7
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 160.83
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 170.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 124.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 121.83
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 126.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 122.61
            }
          ]
        }
      ]
    },
    {
      "description": "HC Medical Nutrition Therapy Group Ea 30 Minutes",
      "code_information": [
        {
          "code": "PX-94200003",
          "type": "CDM"
        },
        {
          "code": "97804",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 65,
          "discounted_cash": 42.25,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 41.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 41.08
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 55.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 41.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 41.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 47.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 41.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 41.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 41.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 41.73
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 17.75
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 42.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 41.08
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.73,
              "estimated_amount": 14.73
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 65,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 57.2
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.73,
              "estimated_amount": 14.73
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 55.25
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 55.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 42.32
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.73,
              "estimated_amount": 14.73
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 65,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 48.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 41.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 53.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 14.73,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 14.88,
              "additional_payer_notes": "PHYSICIAN FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 42.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 52.59
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 55.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 41.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 41.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 47.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 36.08
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 55.25
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 55.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 41.08
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.73,
              "estimated_amount": 14.73
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 14.73,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 14.88,
              "additional_payer_notes": "PHYSICIAN FEE SCHEDULE"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 53.89
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 53.89
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 65,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 14.73,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 15.47,
              "additional_payer_notes": "PHYSICIAN FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 52.59
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 14.73,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 14.73,
              "additional_payer_notes": "PHYSICIAN FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 42.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.73,
              "estimated_amount": 14.73
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 55.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 53.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 35.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 49.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 47.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 36.08
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 55.25
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 65,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 41.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 49.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 49.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 42.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 42.32
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 36.08
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 35.75
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 53.89
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 65,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 14.73,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 14.88,
              "additional_payer_notes": "PHYSICIAN FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 49.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 42.32
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 47.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 41.73
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 55.25
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 55.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 57.01
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 53.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 35.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 14.73,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 14.88,
              "additional_payer_notes": "PHYSICIAN FEE SCHEDULE"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 55.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 41.08
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 14.73,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 15.47,
              "additional_payer_notes": "PHYSICIAN FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 41.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 49.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 48.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 47.45
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 55.25
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 65,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 55.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 35.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 35.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 35.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 14.73,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 14.88,
              "additional_payer_notes": "PHYSICIAN FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.73,
              "estimated_amount": 14.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 57.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 41.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 53.3
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 14.73,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 15.47,
              "additional_payer_notes": "PHYSICIAN FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 41.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 49.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 14.73,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 14.73,
              "additional_payer_notes": "PHYSICIAN FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 36.08
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 14.73,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 14.73,
              "additional_payer_notes": "PHYSICIAN FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 48.75
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 55.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 41.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 53.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 53.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 35.75
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.73,
              "estimated_amount": 14.73
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 14.73,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 15.47,
              "additional_payer_notes": "PHYSICIAN FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 47.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 53.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 53.3
            }
          ],
          "minimum": 14.73,
          "maximum": 14.73
        }
      ]
    },
    {
      "description": "HC Smoke Tobacco Counsel More Than 10 Mins",
      "code_information": [
        {
          "code": "PX-94200018",
          "type": "CDM"
        },
        {
          "code": "99407",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 46,
          "discounted_cash": 29.9,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 40.34
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 25.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 29.95
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 25.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 12.56
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 34.5
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 39.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 35.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 29.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 29.95
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 33.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 29.07
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 39.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 29.07
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 25.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 35.14
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 33.58
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 33.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 29.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 37.21
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 39.1
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 29.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 37.72
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 34.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 40.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 29.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 35.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 25.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 39.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 37.72
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 25.29,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 37.72
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 38.13
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 26.3,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 39.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 29.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 33.58
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 25.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 39.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 29.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 37.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 37.72
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 38.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 29.07
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 25.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 25.3
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 25.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 26.3,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 25.53
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 25.53
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 46,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 29.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 37.21
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 29.95
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 25.53
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 39.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 37.72
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 25.29,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 25.29,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 25.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 46,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 25.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 25.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 29.53
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 46,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 46,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 34.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 29.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 35.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 29.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 29.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 46
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 39.1
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 39.1
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 39.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 25.29,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 26.3,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 29.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 37.72
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 25.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 25.3
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 38.13
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 25.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 25.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 39.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 29.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 35.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 29.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 39.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 29.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 33.58
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 46,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 25.3
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 25.29,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 37.72
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 26.3,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 29.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 29.95
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 25.53
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 39.1
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 30.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 35.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 29.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 33.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 29.07
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 40.48
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 39.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 29.07
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 25.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 46,
              "additional_payer_notes": "ALL OTHER OP"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Train Educ Related to Care and Tx 45 Min or More",
      "code_information": [
        {
          "code": "PX-94200021",
          "type": "CDM"
        },
        {
          "code": "G0177",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 397,
          "discounted_cash": 258.05,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 250.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 250.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 325.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 325.54
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 218.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 397,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 397,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 258.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 258.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 397
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 337.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 254.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 397,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 220.34
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 337.45
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 329.11
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 325.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 325.54
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 329.11
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 337.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 254.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 254.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 397,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 321.17
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 289.81
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 297.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 303.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 397,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 337.45
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 337.45
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 337.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 218.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 254.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 303.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 397,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 254.87
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 258.45
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 289.81
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 325.54
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 218.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 348.17
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 337.45
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 337.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 254.87
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 258.45
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 337.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 254.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 303.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 397,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 397,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 297.75
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 337.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 250.9
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 220.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 303.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 397,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 289.81
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 289.81
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 325.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 325.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 325.54
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 218.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 218.35
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 349.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 303.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 397,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 397,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 397,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 220.34
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 220.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 397,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 397,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 289.81
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 258.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 348.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 250.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 250.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 218.35
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 297.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 250.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 250.9
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 329.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 254.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 254.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 254.87
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 258.45
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 337.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 254.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 303.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 254.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 397,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 108.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 250.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 218.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 397,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 397,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 321.17
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 289.81
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 337.45
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 262.02
            }
          ]
        }
      ]
    },
    {
      "description": "HC Fitness Consultation",
      "code_information": [
        {
          "code": "PX-94200030",
          "type": "CDM"
        },
        {
          "code": "S9451",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 90,
          "discounted_cash": 58.5,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 56.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 73.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 73.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 49.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 57.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 90,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 90,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 68.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 57.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 68.76
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 67.5
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 76.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 56.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 73.8
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 76.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 90,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 58.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 57.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 57.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 90,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 67.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 56.88
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 76.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 78.93
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 73.8
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 79.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 68.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 90,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 72.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 57.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 57.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 90,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 90,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 58.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 58.59
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 76.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 56.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 73.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 49.5
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 67.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 68.76
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 65.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 57.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 57.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 90,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 49.95
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 49.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 76.5
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 76.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 56.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 68.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 90,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 58.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 57.78
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 90
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 56.88
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 49.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 73.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 49.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 68.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 90,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 72.81
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 65.7
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 65.7
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 65.7
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 49.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 56.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 78.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 56.88
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 49.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 74.61
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 74.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 90,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 90,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 57.78
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 58.59
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 76.5
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 24.57
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 76.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 74.61
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 65.7
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 58.5
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 59.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 57.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 57.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 90,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 90,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 90,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 90,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 76.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 49.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 49.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 90,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 65.7
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 49.95
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 76.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 73.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 73.8
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 76.5
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 76.5
            }
          ]
        }
      ]
    },
    {
      "description": "Alginate Calcium Algicell 4 in X 4 In",
      "code_information": [
        {
          "code": "PX-CH-DUM88044",
          "type": "CDM"
        },
        {
          "code": "A6196",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 4.91,
          "discounted_cash": 3.19,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.03
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.7
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.17
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.68
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.7
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.17
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 4.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.17
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.17
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1.34
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.17
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.2
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.73
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.03
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.75
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.03
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.73
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4.91,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.03
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4.31
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.03
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.2
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.17
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4.91,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.7
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.07
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3.97
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 4.91
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.73
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.17
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.03
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3.97
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.7
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.07
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.2
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 3.24
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.68
            }
          ]
        }
      ]
    },
    {
      "description": "Ide G150121 Transcend Surveil Drug Coated Balloon Catheter",
      "code_information": [
        {
          "code": "PX-62400192",
          "type": "CDM"
        },
        {
          "code": "C2623",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1,
          "discounted_cash": 0.65,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            }
          ]
        }
      ]
    },
    {
      "description": "Exome Sequence Analysis Sendout",
      "code_information": [
        {
          "code": "PX-30101305",
          "type": "CDM"
        },
        {
          "code": "81415",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 13270,
          "discounted_cash": 8625.5,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8386.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8386.64
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7298.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17925,
              "estimated_amount": 17925
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11279.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8519.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17925,
              "estimated_amount": 17925
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 8638.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 10735.43
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 9687.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8386.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 11637.79
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7298.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 10881.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17925,
              "estimated_amount": 17925
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17925,
              "estimated_amount": 17925
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 8638.77
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 7364.85
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11279.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17925,
              "estimated_amount": 17925
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 7364.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 7364.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11279.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7298.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7298.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8386.64
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11279.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8519.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8519.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8519.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17925,
              "estimated_amount": 17925
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17925,
              "estimated_amount": 17925
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 8638.77
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 9687.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7298.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7298.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 11000.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 10138.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 10138.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17925,
              "estimated_amount": 17925
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 8638.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 8638.77
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11279.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 10881.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 10881.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 10138.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17925,
              "estimated_amount": 17925
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17925,
              "estimated_amount": 17925
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 3622.71
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11279.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8519.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 10138.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8519.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17925,
              "estimated_amount": 17925
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17925,
              "estimated_amount": 17925
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 9952.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 11000.83
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 11677.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 10138.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17925,
              "estimated_amount": 17925
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17925,
              "estimated_amount": 17925
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17925,
              "estimated_amount": 17925
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17925,
              "estimated_amount": 17925
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11279.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 10138.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 10735.43
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 9952.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 11637.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 10881.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 10881.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8386.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17925,
              "estimated_amount": 17925
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 9687.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8519.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8519.34
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 9687.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 13270
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11279.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11279.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11279.5
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11279.5
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 9952.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8386.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8386.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 10881.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 10881.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8519.34
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 9687.1
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 9687.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8519.34
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 8625.5
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 8758.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8386.64
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7298.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 11000.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8519.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8519.34
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 7364.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11279.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 10881.4
            }
          ],
          "minimum": 17925,
          "maximum": 17925
        }
      ]
    },
    {
      "description": "HC Ot Contrast Bath 15 Min",
      "code_information": [
        {
          "code": "PX-43000019",
          "type": "CDM"
        },
        {
          "code": "97034",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 174,
          "discounted_cash": 113.1,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 109.97
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 13.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 132.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 111.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 132.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 174,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 174,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 113.27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 113.27
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 13.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 96.57
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 96.57
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 174
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 111.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 174,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 147.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 142.68
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 13.4
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 153.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 109.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 111.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 111.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 111.71
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 113.27
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 147.9
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 113.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 174,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 174,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 142.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 142.68
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 13.4
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 13.4
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 147.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 109.97
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 142.68
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 95.7
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 144.25
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 17.62
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 14.07
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 96.57
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 174,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 111.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 132.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 174,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 127.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 152.6
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 13.4
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 174,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 174,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 147.9
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 147.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 95.7
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 144.25
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 13.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 111.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 132.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 174,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 113.27
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 127.02
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 147.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 140.77
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 147.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 109.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 109.97
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 144.25
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 147.9
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 174,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 109.97
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 95.7
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 174,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 127.02
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 174,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 114.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 111.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 111.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 174,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 13.4
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 130.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 142.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 142.68
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 95.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 109.97
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 95.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 111.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 174,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 174,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 96.57
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 147.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 174,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 174,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 127.02
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 127.02
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 147.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 142.68
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 13.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 13.4
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 13.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 111.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 132.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 174,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 13.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 132.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 174,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 174,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 113.27
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 47.5
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 130.5
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 147.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 152.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 142.68
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 13.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 109.97
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 95.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 13.4
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 13.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 174,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 174,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 147.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 140.77
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 127.02
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 13.4
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 130.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 111.71
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 147.9
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 147.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 95.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 13.4
            }
          ]
        }
      ]
    },
    {
      "description": "HC Aspiration Embolectomy System",
      "code_information": [
        {
          "code": "PX-27200393",
          "type": "CDM"
        },
        {
          "code": "27200393",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 46441,
          "discounted_cash": 30186.65,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 29350.71
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 25542.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 29815.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 35480.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 29815.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 35480.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 29164.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 30233.09
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 33901.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 29815.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 29815.12
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 33901.93
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 39474.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 38081.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 40728.76
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 25542.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 29815.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 35480.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 30140.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 29164.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 30233.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 35480.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 35480.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 29164.95
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 46441
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 39474.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 40728.76
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 38499.59
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 39474.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 29815.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 29164.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 29164.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 37570.77
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 33901.93
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 34830.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 34830.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 29815.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 29815.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 29164.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 29164.95
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 33901.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 29350.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 29350.71
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 38081.62
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 38499.59
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 25774.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 35480.92
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 30233.09
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 25542.55
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 38499.59
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 38081.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 30140.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 30140.21
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 39474.85
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 30186.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 29164.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 29350.71
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 25542.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 29350.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 29164.95
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 40868.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 30233.09
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 33901.93
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 39474.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 39474.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 29815.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 29164.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 30233.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 37570.77
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 33901.93
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 39474.85
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 30651.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 38081.62
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 38081.62
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 34830.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 29350.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 29350.71
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 25542.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 29164.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 29815.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 30140.21
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 25774.76
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 39474.85
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 39474.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 38081.62
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 25542.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 29815.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 29815.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 29164.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 29164.95
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 25774.76
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 12678.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 38081.62
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 38081.62
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 39474.85
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 39474.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 25774.76
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 39474.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 29350.71
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 25542.55
            }
          ]
        }
      ]
    },
    {
      "description": "Allergen Specific Ige, Qt/Semi-Qt, Crude Allergen Extract, Each Sendout",
      "code_information": [
        {
          "code": "PX-30200567",
          "type": "CDM"
        },
        {
          "code": "86003",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 55,
          "discounted_cash": 35.75,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 34.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 45.1
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 45.6
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.22,
              "estimated_amount": 5.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.58,
              "estimated_amount": 19.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.58,
              "estimated_amount": 19.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.58,
              "estimated_amount": 19.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 35.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 44.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 40.15
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 40.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.18,
              "estimated_amount": 8.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.58,
              "estimated_amount": 19.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 35.81
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 55
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 46.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 45.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 45.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 30.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 30.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 48.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.18,
              "estimated_amount": 8.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.18,
              "estimated_amount": 8.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.18,
              "estimated_amount": 8.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.18,
              "estimated_amount": 8.18
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 35.81
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 40.15
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 30.53
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 46.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 45.1
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.22,
              "estimated_amount": 5.22
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 55,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 34.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 45.1
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.22,
              "estimated_amount": 5.22
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 5.22,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 5.48,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 15.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 42.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.18,
              "estimated_amount": 8.18
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 35.81
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 30.25
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 41.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.22,
              "estimated_amount": 5.22
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.22,
              "estimated_amount": 5.22
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 5.22,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 5.48,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.58,
              "estimated_amount": 19.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.58,
              "estimated_amount": 19.58
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 30.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 42.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.58,
              "estimated_amount": 19.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 35.81
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 46.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 41.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 48.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 34.76
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 46.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 30.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 30.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 5.22,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 5.27,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 5.22,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 5.48,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.22,
              "estimated_amount": 5.22
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 55,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 55,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 46.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.58,
              "estimated_amount": 19.58
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 46.75
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 46.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.58,
              "estimated_amount": 19.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.58,
              "estimated_amount": 19.58
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 46.75
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 36.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 34.76
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 5.22,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 5.27,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 5.22,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 5.27,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 45.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 30.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 42.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.18,
              "estimated_amount": 8.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.58,
              "estimated_amount": 19.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.58,
              "estimated_amount": 19.58
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 46.75
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 5.22,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 5.22,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 46.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 41.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.18,
              "estimated_amount": 8.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 42.02
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 40.15
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 5.22,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 5.22,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 34.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 34.76
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 45.6
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 5.22,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 5.27,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 30.25
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 45.6
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.22,
              "estimated_amount": 5.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.18,
              "estimated_amount": 8.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 42.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.58,
              "estimated_amount": 19.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.58,
              "estimated_amount": 19.58
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 40.15
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 46.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.18,
              "estimated_amount": 8.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.58,
              "estimated_amount": 19.58
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 5.22,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 5.22,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 30.53
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.63,
              "estimated_amount": 7.63
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 46.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 45.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 5.22,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 5.27,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.63,
              "estimated_amount": 7.63
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 48.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 34.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.18,
              "estimated_amount": 8.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 42.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.18,
              "estimated_amount": 8.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.58,
              "estimated_amount": 19.58
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 46.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.58,
              "estimated_amount": 19.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 44.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 40.15
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 30.53
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 35.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 34.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 45.1
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 46.75
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.63,
              "estimated_amount": 7.63
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 5.22,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 5.48,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            }
          ],
          "minimum": 5.22,
          "maximum": 19.58
        }
      ]
    },
    {
      "description": "HC Enterovirus by Pcr Amplified Prob So",
      "code_information": [
        {
          "code": "PX-30600279",
          "type": "CDM"
        },
        {
          "code": "87498",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 121,
          "discounted_cash": 78.65,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 121,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 41.3,
              "estimated_amount": 41.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 99.22
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 66.55
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 35.09,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 36.84,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 102.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 55.5,
              "estimated_amount": 55.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 88.33
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 30.1,
              "estimated_amount": 30.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 121
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 102.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 30.1,
              "estimated_amount": 30.1
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 102.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 121,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 99.22
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 35.09,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 35.44,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.09,
              "estimated_amount": 35.09
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 51.85,
              "estimated_amount": 51.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 121,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 66.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 35.09,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 35.44,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.09,
              "estimated_amount": 35.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 55.5,
              "estimated_amount": 55.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 55.5,
              "estimated_amount": 55.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.55,
              "estimated_amount": 45.55
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 30.1,
              "estimated_amount": 30.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 66.55
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.09,
              "estimated_amount": 35.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 121,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 121,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.09,
              "estimated_amount": 35.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 55.5,
              "estimated_amount": 55.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 55.5,
              "estimated_amount": 55.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 53.36,
              "estimated_amount": 53.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.55,
              "estimated_amount": 45.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.55,
              "estimated_amount": 45.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 53.36,
              "estimated_amount": 53.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 25,
              "estimated_amount": 30.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 66.55
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.55,
              "estimated_amount": 45.55
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 35.09,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 35.44,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 53.36,
              "estimated_amount": 53.36
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 88.33
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 88.33
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 30.1,
              "estimated_amount": 30.1
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 102.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 99.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 99.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 99.22
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.55,
              "estimated_amount": 45.55
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 102.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 121,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 99.22
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 35.09,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 35.44,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.09,
              "estimated_amount": 35.09
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 90.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 88.33
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 90.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 55.5,
              "estimated_amount": 55.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 55.5,
              "estimated_amount": 55.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.55,
              "estimated_amount": 45.55
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 102.85
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 78.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 99.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 99.22
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 35.09,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 36.84,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 121,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 102.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.09,
              "estimated_amount": 35.09
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 51.85,
              "estimated_amount": 51.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 55.5,
              "estimated_amount": 55.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 55.5,
              "estimated_amount": 55.5
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 35.09,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 35.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 102.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 66.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 66.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 66.55
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.09,
              "estimated_amount": 35.09
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 106.48
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 102.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 55.5,
              "estimated_amount": 55.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.55,
              "estimated_amount": 45.55
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 88.33
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 88.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.55,
              "estimated_amount": 45.55
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 35.09,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 35.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 102.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 41.3,
              "estimated_amount": 41.3
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 35.09,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 36.84,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 121,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.55,
              "estimated_amount": 45.55
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.09,
              "estimated_amount": 35.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 53.36,
              "estimated_amount": 53.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 55.5,
              "estimated_amount": 55.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 35.09,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 35.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 51.85,
              "estimated_amount": 51.85
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 90.75
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 102.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 53.36,
              "estimated_amount": 53.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 55.5,
              "estimated_amount": 55.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 53.36,
              "estimated_amount": 53.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 35.09,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 35.44,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 35.09,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 36.84,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.55,
              "estimated_amount": 45.55
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 102.85
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.09,
              "estimated_amount": 35.09
            }
          ],
          "minimum": 30.1,
          "maximum": 131.59
        }
      ]
    },
    {
      "description": "Barrier Strip Elastica Barrier Arc Shaped",
      "code_information": [
        {
          "code": "PX-CH-SNS20630",
          "type": "CDM"
        },
        {
          "code": "A4362",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1.72,
          "discounted_cash": 1.12,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.12
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.41
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.12
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1.72,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.41
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1.72
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.12
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.41
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.41
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.12
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.26
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.29
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1.72,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1.51
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.41
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1.39
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.26
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.26
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.26
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.31
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.12
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1.51
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.43
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.46
            }
          ]
        }
      ]
    },
    {
      "description": "Catheter External Latex Medium 28mm Active Life",
      "code_information": [
        {
          "code": "PX-CH-MN8300",
          "type": "CDM"
        },
        {
          "code": "A4349",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1.96,
          "discounted_cash": 1.27,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1.59
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.26
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.47
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.47
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.26
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.43
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1.72
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.28
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.28
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.43
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.62
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1.72
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.28
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.28
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1.59
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 1.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1.72
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.26
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.43
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.43
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.08
            }
          ]
        }
      ]
    },
    {
      "description": "Foam Drsg 4 X 5 Transfer Hydrofera Blue Ready",
      "code_information": [
        {
          "code": "PX-CH-ADVHBRT4050",
          "type": "CDM"
        },
        {
          "code": "A6210",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 15.74,
          "discounted_cash": 10.23,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.66
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10.25
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11.49
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.66
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 12.91
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.66
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 12.73
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.66
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.66
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 13.05
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 11.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11.49
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 4.3
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.38
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 11.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11.49
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.66
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 12.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10.25
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 15.74,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11.49
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 8.74
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 15.74,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 12.91
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 12.91
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.66
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 13.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 8.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10.25
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.38
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 10.39
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 13.05
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.38
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11.49
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 8.74
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 13.8
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 15.74
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.38
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10.25
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11.49
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.38
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.38
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 13.8
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 11.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 8.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 12.91
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 12.91
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 12.91
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 13.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 12.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 12.91
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.38
            }
          ]
        }
      ]
    },
    {
      "description": "Hspc Room and Bed Good Shepherd",
      "code_information": [
        {
          "code": "PX-65900208",
          "type": "CDM"
        },
        {
          "code": "T2046",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 270.62,
          "discounted_cash": 175.9,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 171.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 237.33
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 230.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 173.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 206.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 173.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 270.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 176.17
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 73.88
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 270.62,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 270.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 270.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 270.62,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 230.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 221.91
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 202.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 206.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 270.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 270.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 176.17
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 150.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 173.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 176.17
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 148.84
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 224.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 206.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 176.17
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 150.19
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 202.97
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 230.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 206.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 218.93
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 230.03
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 224.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 171.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 171.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 173.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 270.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 197.55
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 230.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 176.17
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 150.19
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 224.34
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 230.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 171.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 221.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 173.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 173.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 270.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 270.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 197.55
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 197.55
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 270.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 173.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 173.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 270.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 270.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 230.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 221.91
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 221.91
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 221.91
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 148.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 173.74
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 197.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 206.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 206.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 270.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 197.55
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 197.55
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 202.97
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 178.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 171.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 171.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 221.91
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 148.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 171.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 221.91
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 148.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 270.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 270.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 230.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 173.74
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 230.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 171.03
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 148.84
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 148.84
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 230.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 173.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 270.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 270.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 218.93
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 150.19
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 230.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 237.33
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 221.91
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 148.84
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 230.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 173.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 270.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 270.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 238.15
            }
          ]
        }
      ]
    },
    {
      "description": "HC Hm3 Lvad Controller W Ebb",
      "code_information": [
        {
          "code": "PX-27400286",
          "type": "CDM"
        },
        {
          "code": "Q0481",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 17615,
          "discounted_cash": 11449.75,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 15448.36
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 14444.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 14444.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9688.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9688.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9688.25
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 17130.77,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 17987.31,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 13457.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 10745.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 10745.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 10745.15
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14972.75
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14972.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 11291.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 10745.15
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14972.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9688.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 10745.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 14250.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 11467.37
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 11467.37
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12858.95
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12858.95
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14972.75
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14972.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 13211.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 11291.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 11255.99
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 17130.77,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 17130.77,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 14444.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9688.25
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 17615,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 17615,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 13211.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 14444.3
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 17130.77,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 17987.31,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 17130.77,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 17302.08,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14972.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 11467.37
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 17615
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 11449.75
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14972.75
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12858.95
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12858.95
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12858.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 11537.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 14602.84
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17130.77,
              "estimated_amount": 17130.77
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9688.25
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17130.77,
              "estimated_amount": 17130.77
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 3857.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 10745.15
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 13211.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 11291.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 11291.22
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 17615,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 11537.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 11537.83
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 14444.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 17130.77,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 17302.08,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17130.77,
              "estimated_amount": 17130.77
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9688.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17130.77,
              "estimated_amount": 17130.77
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 14602.84
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 17130.77,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 17987.31,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 17615,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14972.75
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14972.75
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14972.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 11291.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 11291.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 11255.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 10745.15
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 9776.33
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 17130.77,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 17130.77,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 13457.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 11291.22
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 14250.54
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 4808.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 11537.83
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 14444.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 17130.77,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 17302.08,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 11537.83
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 17130.77,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 17302.08,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17130.77,
              "estimated_amount": 17130.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 13457.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 10745.15
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 17130.77,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 17130.77,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14972.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 13457.86
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 9776.33
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 9776.33
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 11625.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 11537.83
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 17130.77,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 17987.31,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 11291.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 11291.22
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 11467.37
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12858.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 11291.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 11291.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 10745.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 11467.37
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14972.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 11537.83
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 14444.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 17130.77,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 17302.08,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 14602.84
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17130.77,
              "estimated_amount": 17130.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 13457.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 11291.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 10745.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 10745.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 11255.99
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14972.75
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 17615,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 11255.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 10745.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 10745.15
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14972.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 15448.36
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 14444.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 13457.86
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 9776.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 11537.83
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17130.77,
              "estimated_amount": 17130.77
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 15501.2
            }
          ],
          "minimum": 17130.77,
          "maximum": 17130.77
        }
      ]
    },
    {
      "description": "Wound Cleanser Anasept 8 Oz Antimicrobial",
      "code_information": [
        {
          "code": "PX-CH-ANA4008TC",
          "type": "CDM"
        },
        {
          "code": "A6260",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 15.13,
          "discounted_cash": 9.83,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9.56
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.13,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.71
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 9.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 12.24
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11.04
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12.86
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12.86
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 8.4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12.86
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12.86
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12.86
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 15.13,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9.56
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.13,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9.56
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.13,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 13.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 11.35
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 11.35
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 9.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.71
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 12.41
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 12.54
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 12.41
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 4.13
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 15.13,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.71
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11.04
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 15.13
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 12.41
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 12.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.32
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12.86
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12.86
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.13,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.13,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 11.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 9.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 8.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.13,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 12.54
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.13,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 12.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 9.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 9.85
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11.04
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.13,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.13,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 11.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11.04
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 12.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 12.41
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 12.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.71
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 12.24
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11.04
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 11.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 11.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 8.4
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12.86
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.32
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 11.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 11.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 11.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 9.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 8.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.13,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 13.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 13.27
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 12.41
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 14.03,
          "discounted_cash": 9.12,
          "payers_information": [
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.72
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 12.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 10.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14.03,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 11.35
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 10.24
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 14.03
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 14.03,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 7.79
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 3.83
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 10.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8.87
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 12.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8.87
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 14.03,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14.03,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14.03,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14.03,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 10.24
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.93
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 9.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 11.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 12.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14.03,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 11.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 10.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14.03,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.72
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 11.63
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 14.03,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8.87
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 14.03,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14.03,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14.03,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14.03,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14.03,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 7.79
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 14.03,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.93
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 11.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8.87
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 11.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 14.03,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14.03,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 10.24
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 7.79
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.93
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.93
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 14.03,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 14.03,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14.03,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14.03,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 9.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 9.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 9.13
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 7.79
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 10.52
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 11.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8.87
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.72
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 9.13
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 10.24
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 10.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 10.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 10.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 10.72
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 10.24
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 14.03,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.93
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8.87
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 11.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 11.5
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14.03,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14.03,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8.87
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 11.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 11.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.72
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 10.52
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 14.03,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 11.63
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14.03,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14.03,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 14.03,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.93
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 10.72
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 14.03,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8.87
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 11.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 9.13
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.93
            }
          ]
        }
      ]
    },
    {
      "description": "\"2pc Urostomy Pouch Natura 2-3/4\"\" Flange\"",
      "code_information": [
        {
          "code": "PX-CH-CV4015-55",
          "type": "CDM"
        },
        {
          "code": "A4432",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 6.46,
          "discounted_cash": 4.2,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 5.67
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 5.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.72
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.59
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4.85
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 5.67
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.55
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.49
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.59
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.49
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 4.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.55
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 5.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.72
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.3
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 5.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.3
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.15
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.59
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.49
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4.21
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4.21
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.49
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 4.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4.21
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 6.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.55
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 5.68
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4.21
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.72
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.72
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.49
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.55
            }
          ]
        }
      ]
    },
    {
      "description": "\"1pc Ctf Soft Cvx 3/8\"\" to 2\"\"\"",
      "code_information": [
        {
          "code": "PX-CH-CO16706",
          "type": "CDM"
        },
        {
          "code": "A4389",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 8.53,
          "discounted_cash": 5.54,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6.99
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 8.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.55
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.25
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 2.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.23
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4.73
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 8.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6.99
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6.99
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6.99
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 8.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 8.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6.99
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 8.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 8.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 8.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.55
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.23
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.55
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 8.53,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.39
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.69
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 8.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 8.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 7.07
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.25
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 7.07
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 8.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 6.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6.99
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6.99
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.69
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 7.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 8.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.25
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 8.53,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 6.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.55
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.39
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.69
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 8.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 8.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 7.51
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.25
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.25
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 6.4
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.48
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 8.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 8.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 7.48
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 8.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 8.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.48
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.23
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.55
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.25
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 8.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 6.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 7.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.39
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 8.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.48
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.23
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4.73
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4.73
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.25
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 6.4
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 5.63
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.52
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.23
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4.73
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 8.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 8.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6.99
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.39
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.69
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.69
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 8.53,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Insert Peritoneal-Venous Shunt",
      "code_information": [
        {
          "code": "PX-36100911",
          "type": "CDM"
        },
        {
          "code": "49425",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 7681,
          "discounted_cash": 4992.65,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4854.39
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 6367.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5000.33
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7681,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4931.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7681,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5607.13
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7681,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 4992.65
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6528.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 6736.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4224.55
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 5760.75
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6528.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4854.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4931.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4931.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4931.2
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5607.13
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 5069.46
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6528.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7681,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6528.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4854.39
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4224.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4224.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4224.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4854.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6298.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 5868.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4931.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4931.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 5868.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4931.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 5868.28
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6528.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4854.39
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6528.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7681,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5607.13
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6528.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4931.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7681,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7681,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7681,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7681,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7681,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6298.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4854.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6298.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7681,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7681,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7681,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5000.33
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 6213.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4931.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 5868.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7681,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5000.33
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5000.33
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5607.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4854.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6298.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4224.55
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 6367.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5000.33
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 5760.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4931.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 6213.93
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5607.13
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 5760.75
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6528.85
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 6367.55
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 6759.28
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6528.85
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6528.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7681,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7681,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7681,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7681,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5607.13
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7681,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 5868.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 5868.28
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6528.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6298.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6298.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4854.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 6736.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4224.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4224.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4931.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7681,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6528.85
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 2096.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4931.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7681,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7681,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6298.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6298.42
            }
          ]
        }
      ]
    },
    {
      "description": "\"IV Catheter Nexiva 22g X 1\"\" Single Port Closed\"",
      "code_information": [
        {
          "code": "PX-CH-BD383512",
          "type": "CDM"
        },
        {
          "code": "A4649",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 9.36,
          "discounted_cash": 6.08,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.92
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.68
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 8.21
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 7.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.92
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.01
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 7.02
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 7.57
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.83
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.83
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.83
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.92
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.68
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 8.21
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.68
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.15
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.83
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 5.19
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 9.36,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.68
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.15
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6.09
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 5.19
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 6.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.92
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 7.76
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.96
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.15
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 9.36
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 2.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.01
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.96
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.68
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 7.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.92
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 7.57
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 5.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.92
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 8.24
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.96
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6.09
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.83
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 5.19
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.96
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 9.36,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 7.76
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.96
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.83
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 7.02
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.15
            }
          ]
        }
      ]
    },
    {
      "description": "HC Nushield 2x3 per Sq Cm",
      "code_information": [
        {
          "code": "PX-63600062",
          "type": "CDM"
        },
        {
          "code": "Q4160",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 425,
          "discounted_cash": 276.25,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 268.6
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 425,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 425,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 425,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 425,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 276.68
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 425,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 361.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 272.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 425,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 425,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 310.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 233.75
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 425,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 268.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 233.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 272.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 425,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 276.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 343.83
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 310.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 235.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 272.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 324.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 276.68
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 425
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 268.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 372.73
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 348.5
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 425,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 348.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 352.33
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 280.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 324.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 425,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 425,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 361.25
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 361.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 372.73
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 348.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 233.75
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 425,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 425,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 361.25
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 352.33
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 425,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 425,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 425,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 272.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 272.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 361.25
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 361.25
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 425,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 276.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 324.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 272.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 272.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 272.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 425,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 343.83
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 310.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 235.88
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 361.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 268.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 233.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 425,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 318.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 348.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 233.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 233.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 425,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 324.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 425,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 425,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 310.25
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 318.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 272.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 425,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 425,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 425,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 361.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 268.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 425,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 425,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 425,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 361.25
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 310.25
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 310.25
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 361.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 425,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 268.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 348.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 425,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 352.33
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 425,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 361.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 425,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 235.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 324.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 272.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 235.88
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 425,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 268.6
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 425,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 268.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 348.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 425,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 425,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 425,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 276.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 276.68
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 425,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 425,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 272.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 324.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 425,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 361.25
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 318.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 348.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 348.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 233.75
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 425,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 272.85
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 116.03
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 361.25
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 361.25
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 374
            }
          ]
        }
      ]
    },
    {
      "description": "Curity Sleep Pants Lg/Xlg 65-125 Lbs",
      "code_information": [
        {
          "code": "PX-CH-KN70074",
          "type": "CDM"
        },
        {
          "code": "T4534",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.6,
          "discounted_cash": 0.39,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.49
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.49
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.4
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.49
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.49
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.5
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.44
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.44
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.44
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.44
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.5
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.49
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.44
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.38
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.44
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.49
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.49
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.49
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.49
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.44
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.44
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.49
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.49
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.49
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.44
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.44
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.16
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.49
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.49
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.38
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.49
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.49
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.44
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.49
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.44
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.49
            }
          ]
        }
      ]
    },
    {
      "description": "2 Pc Pouch 2 1/4 in New Image Clamp Closure",
      "code_information": [
        {
          "code": "PX-CH-HO18163",
          "type": "CDM"
        },
        {
          "code": "A4425",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2.24,
          "discounted_cash": 1.46,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.84
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.24
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.24
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.9
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2.24
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.71
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1.81
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.84
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.9
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.84
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.84
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.86
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.9
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.61
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1.81
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.9
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.86
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.68
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.9
            }
          ]
        }
      ]
    },
    {
      "description": "Kit Irrigation Comb/Cone/Tube",
      "code_information": [
        {
          "code": "PX-CH-HO7721",
          "type": "CDM"
        },
        {
          "code": "A4400",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 24.15,
          "discounted_cash": 15.7,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 15.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 19.8
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 20.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 15.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24.15,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 20.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24.15,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 13.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 15.26
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 19.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 18.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 18.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 19.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 15.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24.15,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24.15,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 15.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 15.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 19.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 15.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 19.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24.15,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24.15,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 20.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 15.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 18.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 15.72
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 15.72
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 17.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 15.26
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 21.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 15.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 15.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 17.63
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 20.53
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 15.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 15.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 15.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 15.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 15.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 15.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24.15,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 15.72
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 17.63
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 24.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 15.26
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 20.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24.15,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24.15,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 17.63
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 6.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 18.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24.15,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 19.54
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 20.53
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 19.8
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 20.53
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 18.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24.15,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 15.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 15.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 15.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24.15,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 17.63
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 20.53
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 20.53
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 20.53
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 21.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 19.8
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 20.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 15.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24.15,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 13.4
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 18.11
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 20.53
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 20.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 18.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24.15,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24.15,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 17.63
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 18.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 15.26
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 20.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 15.26
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13.28
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 20.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 18.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24.15,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 13.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24.15,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 13.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 19.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 21.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 19.8
            }
          ]
        }
      ]
    },
    {
      "description": "Cotton Balls Large 5 Pak",
      "code_information": [
        {
          "code": "PX-CH-DN30-030",
          "type": "CDM"
        },
        {
          "code": "A6260",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1.41,
          "discounted_cash": 0.92,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.91
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.41,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.41,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.41,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1.14
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.41,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.91
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.03
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.41,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.41,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.41,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.2
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.41,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.38
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.03
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.41,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.2
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.91
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1.41,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.41,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.17
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.41,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.41,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.41,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.91
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.41,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.41,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.41,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.41,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.41,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.41,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.41,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.03
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.41,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.41,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.41,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1.14
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.2
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.2
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.41,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.41,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.03
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1.41
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1.41,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.41,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.03
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.41,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.2
            }
          ]
        }
      ]
    },
    {
      "description": "Hand Sanitizer Purell 8 Oz Pump Bottle",
      "code_information": [
        {
          "code": "PX-CH-FJ2070079",
          "type": "CDM"
        },
        {
          "code": "A9270",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 8.72,
          "discounted_cash": 5.67,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 7.65
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.41
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 7.05
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.37
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 2.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 7.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.51
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 7.23
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.41
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 7.67
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.68
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4.84
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.41
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 7.05
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 7.65
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.41
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 6.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.37
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.41
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 8.72,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 7.05
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 8.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.15
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 7.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 7.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.68
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.37
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.41
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 6.54
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 5.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.37
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.37
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 8.72
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.41
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 8.72,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.51
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.15
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.41
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.68
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.37
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.37
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4.84
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.37
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 2.38
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 6.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.68
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4.84
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4.84
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 5.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 7.05
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.37
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4.84
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.41
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 5.67
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 8.72,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.15
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 7.23
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.68
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4.84
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 6.54
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 6.54
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.15
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 7.67
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.15
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 7.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.68
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.37
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.37
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4.84
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.51
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 7.23
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 7.23
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 6.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.37
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.41
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.41
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.41
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 8.72,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.41
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.8
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 248.12,
          "discounted_cash": 161.28,
          "payers_information": [
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 203.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 203.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 203.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 189.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 159.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 159.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 189.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 159.29
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 137.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 156.81
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 218.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 248.12,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 161.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 248.12,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 248.12,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 248.12,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 161.53
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 181.13
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 181.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 156.81
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 136.47
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 136.47
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 210.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 156.81
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 136.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 248.12,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 248.12,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 161.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 161.53
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 163.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 159.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 200.73
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 248.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 203.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 217.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 136.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 159.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 159.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 189.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 248.12,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 248.12,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 181.13
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 210.9
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 210.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 248.12,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 248.12,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 248.12,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 67.74
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 210.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 203.46
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 136.47
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 205.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 159.29
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 137.71
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 137.71
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 161.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 189.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 159.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 248.12,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 200.73
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 210.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 156.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 156.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 156.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 156.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 217.6
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 210.9
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 181.13
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 210.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 159.29
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 181.13
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 186.09
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 210.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 203.46
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 205.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 159.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 248.12,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 248.12,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 248.12,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 159.29
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 210.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 203.46
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 186.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 156.81
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 136.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 189.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 189.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 248.12,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 137.71
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 186.09
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 210.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 159.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 248.12,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 161.53
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 203.46
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 210.9
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 181.13
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 210.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 136.47
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 205.69
            }
          ]
        }
      ]
    },
    {
      "description": "2 Pc Pre Cut Ext Wear Cvx 2 1/4 in New Image",
      "code_information": [
        {
          "code": "PX-CH-HO14905",
          "type": "CDM"
        },
        {
          "code": "A4407",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 4.77,
          "discounted_cash": 3.1,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.91
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.77,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.48
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 3.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.77,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.77,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.77,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.11
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.48
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.77,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.62
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.48
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.77,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.06
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.48
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 4.77
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.62
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.62
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.77,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.91
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.77,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 4.2
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.77,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.77,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.11
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.48
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.48
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.77,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.62
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.77,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.62
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.77,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.77,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.77,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.77,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.77,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4.77,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.05
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.91
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.77,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.77,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3.95
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.77,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.77,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.64
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3.86
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.65
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.91
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.77,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.91
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.77,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.77,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.77,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.91
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.62
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.77,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.77,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3.86
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.65
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.05
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4.77,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.77,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.77,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.62
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.77,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.77,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.91
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.91
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.77,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.77,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.77,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.77,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.77,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.77,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1.3
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.77,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3.95
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.06
            }
          ]
        }
      ]
    },
    {
      "description": "\"Tape Cloth Medipore 4\"\" X 10 Yds\"",
      "code_information": [
        {
          "code": "PX-CH3M2964",
          "type": "CDM"
        },
        {
          "code": "A4452",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 18.99,
          "discounted_cash": 12.34,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 16.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 15.57
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 10.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 10.44
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 18.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 14.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 15.36
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 10.54
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 18.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 16.14
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 18.99,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 18.99,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 12.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 12.36
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 12.36
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 12.36
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 18.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 18.99
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 18.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 12.53
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 16.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 12
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 10.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 10.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 10.44
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 16.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 15.57
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 18.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 15.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 12.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 14.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 13.86
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 13.86
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 18.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 18.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 10.54
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 10.54
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 14.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 12.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 12.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 12.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 12.36
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 15.36
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 16.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 12
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 18.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 15.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 12
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 18.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 15.74
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 14.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 12.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 10.54
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 14.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 12.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 14.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 13.86
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 10.54
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 16.14
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 18.99,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 15.57
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 10.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 10.44
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 15.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 16.65
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 16.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 12.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 12.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 12.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 15.36
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 12.36
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 13.86
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 16.14
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 18.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 16.14
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 18.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 14.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 14.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 12.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 12.36
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 13.86
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 10.54
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 16.14
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 16.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 15.57
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 10.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 15.57
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 18.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 16.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 12.36
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 12.36
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 13.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 14.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 14.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 12.36
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 13.86
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 10.54
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 16.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 16.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 16.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 15.57
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 15.57
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 10.44
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 18.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 18.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 12.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 12.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 12.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 12.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 14.51
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 16.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 12.36
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 10.54
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 16.14
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 16.14
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 18.99,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 14.24
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 16.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 14.51
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 18.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 5.18
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 16.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 15.57
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 15.57
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 15.57
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 18.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 16.14
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 16.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 15.57
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 15.57
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 16.71
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 16.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 12.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 14.51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 15.36
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 13.86
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 18.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 12.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 12.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 12.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 12.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 14.51
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 13.86
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 13.86
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 16.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 15.57
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 15.57
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 10.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 10.44
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 18.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 16.71
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 15.57
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 10.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 10.44
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 15.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 14.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 12.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 12.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 13.86
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 5.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 14.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 12.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 13.86
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 18.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 16.14
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 14.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 12.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 12.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 18.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 18.99
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 16.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 15.57
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 10.44
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 15.74
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 18.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 16.14
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 5,
          "discounted_cash": 3.25,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.15
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4.05
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.1
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.65
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.78
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.75
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4.39
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 4.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.26
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.65
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.82
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.26
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.65
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.78
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.78
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.1
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4.05
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.65
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1.37
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.21
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.26
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.65
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.1
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.26
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.65
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.78
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.75
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 3.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.16
            }
          ]
        }
      ]
    },
    {
      "description": "HC Dest. Internal Hemorrhoid With Thermal Energy",
      "code_information": [
        {
          "code": "PX-75000171",
          "type": "CDM"
        },
        {
          "code": "46930",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 8582,
          "discounted_cash": 5578.3,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5423.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5423.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 7526.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7037.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4720.1
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1029.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1081.44,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1081.44,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66.2,
              "estimated_amount": 5681.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 5483.9
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "estimated_amount": 8582
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "estimated_amount": 8582
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7294.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6556.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5509.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6556.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 5483.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 6942.84
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7294.7
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 5664.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7037.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4720.1
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 7114.48
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7037.24
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 7114.48
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 8582,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6556.65
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1029.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5509.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5509.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6556.65
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1029.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5423.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5423.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4720.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4720.1
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1029.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1081.44,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5509.64
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 6942.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5586.88
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 18,
              "estimated_amount": 1544.76
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 18,
              "estimated_amount": 1544.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66.2,
              "estimated_amount": 5681.28
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6264.86
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 6436.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7037.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5423.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5509.64
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6264.86
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7294.7
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 6436.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5509.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5509.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 5483.9
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6264.86
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1029.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7294.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5423.82
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7294.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5423.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7037.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7037.24
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1040.25,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1040.25,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 8582,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1040.25,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 5483.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6556.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 5483.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 5483.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66.2,
              "estimated_amount": 5681.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5586.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5586.88
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6264.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5423.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 7526.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7037.24
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1029.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6556.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5509.64
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1029.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 5483.9
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7294.7
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "estimated_amount": 8582
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "estimated_amount": 8582
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66.2,
              "estimated_amount": 5681.28
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6264.86
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "estimated_amount": 8582
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1029.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7294.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4720.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4720.1
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1029.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 8582,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1081.44,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5509.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 5483.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 5483.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 5483.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5586.88
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6264.86
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 5578.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 5483.9
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7294.7
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 2342.89
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4720.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1040.25,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1029.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 7114.48
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 6436.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5509.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5509.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 5483.9
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7294.7
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7294.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5509.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 5483.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5586.88
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7294.7
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7294.7
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7294.7
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7294.7
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 7552.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7037.24
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1040.25,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 1879.46
            }
          ]
        }
      ]
    },
    {
      "description": "Feeding Tube Declogger Orange 18-24fr Peg Type",
      "code_information": [
        {
          "code": "PX-CHHO9702",
          "type": "CDM"
        },
        {
          "code": "A6154",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 22.75,
          "discounted_cash": 14.79,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 14.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 12.51
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 22.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 14.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 14.81
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 16.61
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 6.21
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 22.75,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 17.06
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 16.61
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 17.06
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 22.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 18.86
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 22.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 19.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 18.66
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 12.51
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 22.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 17.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 14.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 14.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 19.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 18.66
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 12.51
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 22.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 22.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 22.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 19.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 18.66
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 18.66
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 12.51
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 22.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 22.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 14.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 14.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 12.63
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 19.34
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 19.34
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 12.51
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 20.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 14.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 18.4
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 16.61
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 12.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 12.63
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 19.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 18.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 14.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 14.38
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 22.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 22.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 22.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 17.38
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 22.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 14.81
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 12.63
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 22.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 19.34
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 19.34
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 19.34
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 15.02
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 12.51
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 22.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 19.34
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 17.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 14.38
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 22.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 17.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 14.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 14.81
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 16.61
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 16.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 14.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 17.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 22.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 14.38
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 22.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 14.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 16.61
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 22.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 17.38
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 19.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 19.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 14.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 12.51
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 18.86
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 18.86
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 22.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 19.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 14.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 14.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 18.4
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 19.34
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 22.75,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 17.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 14.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 14.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 14.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 18.66
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 18.66
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 18.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 14.81
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 22.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 14.38
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 22.75,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 9.04,
          "discounted_cash": 5.88,
          "payers_information": [
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.41
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.97
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.97
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.89
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.6
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 9.04,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.6
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.6
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.41
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.97
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 7.49
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 7.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.71
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.97
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 7.49
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.68
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 7.96
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.89
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.6
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 9.04
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.68
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.68
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.68
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 5.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.89
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 5.02
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 2.47
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 9.04,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.71
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.41
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.97
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 7.93
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.41
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 5.02
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.8
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.71
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.41
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 7.49
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 7.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.71
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.97
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.97
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.68
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 6.78
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 9.04,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 5.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.89
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 5.02
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 5.02
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.71
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.41
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.97
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 7.49
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 6.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 7.93
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 6.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.6
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 7.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.71
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.97
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.71
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 7.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 7.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 7.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.89
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 5.02
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 6.78
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 7.31
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 5.02
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 2.47
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 6.78
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.71
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.41
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 7.93
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.89
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 5.02
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.8
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.68
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.68
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.71
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.71
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.41
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.97
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.89
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.6
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 9.04
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.68
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.68
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 6.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.6
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 9.04,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 7.93
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 5.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.71
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.41
            }
          ]
        }
      ]
    },
    {
      "description": "HC St Functional Activity",
      "code_information": [
        {
          "code": "PX-44000043",
          "type": "CDM"
        },
        {
          "code": "97530",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 190,
          "discounted_cash": 123.5,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 120.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 120.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 155.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 104.5
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 142.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 121.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 121.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 190,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 190,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 190,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 138.7
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 161.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 121.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 121.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 145.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 190,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 190,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 34.7
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 161.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 166.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 120.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 155.8
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 34.7
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 34.7
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 190,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 34.28
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 167.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 157.51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 123.69
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 105.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 121.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 190,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 190,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 190,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 161.5
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 142.5
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 190,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 155.8
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 161.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 120.08
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 104.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 145.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 190,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 190,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 190,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 123.69
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 138.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 34.7
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 161.5
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 190,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 155.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 123.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 121.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 121.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 121.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 190,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 138.7
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 138.7
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 161.5
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 190,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 120.08
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 34.7
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 161.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 138.7
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 105.45
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 161.5
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 123.5
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 125.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 145.16
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 161.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 155.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 104.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 34.7
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 34.7
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 157.51
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 104.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 190,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 153.71
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 105.45
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 34.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 190,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 190,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 105.45
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 51.87
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 161.5
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 161.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 120.08
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 104.5
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 34.7
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 34.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 166.63
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 104.5
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 36.44
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 34.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 145.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 190,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 190,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 190
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 190,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 123.69
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 34.7
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 142.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 155.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 155.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 104.5
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 34.7
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 34.7
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 190,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 161.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 121.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 121.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 153.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 145.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 145.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 121.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 121.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 123.69
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 161.5
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 161.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 34.7
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 34.7
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 138.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 120.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 120.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 155.8
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 157.51
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 34.7
            }
          ]
        }
      ]
    },
    {
      "description": "HC Fibrin Degradation Products",
      "code_information": [
        {
          "code": "PX-30000066",
          "type": "CDM"
        },
        {
          "code": "85362",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 412,
          "discounted_cash": 267.8,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 361.32
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 350.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 264.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.84,
              "estimated_amount": 25.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.84,
              "estimated_amount": 25.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 268.21
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 350.2
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 271.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 314.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.84,
              "estimated_amount": 25.84
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 300.76
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 412
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 228.66
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 350.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 260.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 226.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 264.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 350.2
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 267.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 264.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 314.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.84,
              "estimated_amount": 25.84
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 350.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 260.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 337.84
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 341.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 337.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 337.84
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 350.2
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 309
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.84,
              "estimated_amount": 25.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.84,
              "estimated_amount": 25.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 268.21
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 300.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.84,
              "estimated_amount": 25.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.84,
              "estimated_amount": 25.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 333.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 268.21
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 350.2
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 362.56
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 341.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 314.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 264.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.84,
              "estimated_amount": 25.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.84,
              "estimated_amount": 25.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.84,
              "estimated_amount": 25.84
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 228.66
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 228.66
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 112.48
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 309
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 264.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 337.84
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 226.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 226.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 226.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 264.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 264.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 314.77
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 300.76
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 228.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 264.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 264.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 314.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.84,
              "estimated_amount": 25.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 268.21
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 300.76
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 350.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 361.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 260.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 260.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 264.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 314.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.84,
              "estimated_amount": 25.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 268.21
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 300.76
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 300.76
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 309
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 226.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 226.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 260.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 337.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 264.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.84,
              "estimated_amount": 25.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 333.31
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 350.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 260.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 260.38
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 350.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 341.55
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 350.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.84,
              "estimated_amount": 25.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.84,
              "estimated_amount": 25.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.84,
              "estimated_amount": 25.84
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 350.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 260.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 337.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 337.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 264.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 337.84
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 226.6
            }
          ],
          "minimum": 25.84,
          "maximum": 25.84
        }
      ]
    },
    {
      "description": "Barrier Strips Adapt 60 Gm",
      "code_information": [
        {
          "code": "PX-CHHO79400",
          "type": "CDM"
        },
        {
          "code": "A4385",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 5.74,
          "discounted_cash": 3.73,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.63
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.74
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.19
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5.74,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.63
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.88
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 5.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.74
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5.74,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.71
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.71
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.69
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4.64
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.19
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.88
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.88
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 5.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.71
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.16
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4.31
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.16
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.19
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.19
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 3.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.63
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.19
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1.57
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 5.03
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.88
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.74
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.19
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.19
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.74
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.16
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.63
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.16
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.19
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.71
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.71
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.71
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.71
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.76
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4.64
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.19
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.19
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.88
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.88
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4.31
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.69
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 5.74
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.16
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.74,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "Foam Drsg Non-Adhesive Allevyn 6 in X 6 In",
      "code_information": [
        {
          "code": "PX-CHUN66020093",
          "type": "CDM"
        },
        {
          "code": "A6210",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 15.94,
          "discounted_cash": 10.36,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.07
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.94,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.94,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.94,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.94,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11.64
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.94,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13.07
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 14.03
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.77
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.94,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10.38
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 8.85
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.94,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 10.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.94,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 8.85
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.94,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 13.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 13.98
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.94,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.94,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12.18
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 12.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.94,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.94,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.94,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10.38
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 12.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13.07
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.94,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.94,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.94,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10.38
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 15.94
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.94,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.94,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.94,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.07
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.77
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.94,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 13.21
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.94,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.94,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.94,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11.64
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 11.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.94,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.94,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.55
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 4.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.07
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.77
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.94,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.07
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.23
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.94,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 8.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.07
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 13.21
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13.07
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.94,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.94,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.94,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11.64
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 15.94,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.07
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.77
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.77
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.94,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 11.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.94,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.94,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10.38
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11.64
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 8.85
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 11.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.94,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11.64
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.94,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.55
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 15.94,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.77
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.77
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.94,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.94,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11.64
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.55
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 13.21
            }
          ]
        }
      ]
    },
    {
      "description": "HC Natural Killer Cells Total CT So",
      "code_information": [
        {
          "code": "PX-30200642",
          "type": "CDM"
        },
        {
          "code": "86357",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 51,
          "discounted_cash": 33.15,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 32.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 41.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 41.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 28.05
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 51,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 41.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 33.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 33.2
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 37.73,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 37.73,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 55.72,
              "estimated_amount": 55.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 38.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 32.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 32.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 141.49,
              "estimated_amount": 141.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 141.49,
              "estimated_amount": 141.49
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 33.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 42.28
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 37.73,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 38.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 32.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 32.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 141.49,
              "estimated_amount": 141.49
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 51
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 38.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 32.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 141.49,
              "estimated_amount": 141.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 141.49,
              "estimated_amount": 141.49
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 37.23
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 37.23
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 28.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 44.73
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 41.82
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 37.73,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 38.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 37.73,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 39.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 42.28
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 51,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 43.35
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 43.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 32.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 141.49,
              "estimated_amount": 141.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 141.49,
              "estimated_amount": 141.49
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 28.31
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 43.35
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 38.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 44.73
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 42.28
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 43.35
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 43.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 41.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 28.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 28.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 32.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 141.49,
              "estimated_amount": 141.49
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 37.23
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 43.35
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 33.66
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 43.35
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 33.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 37.73,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 38.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 55.72,
              "estimated_amount": 55.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 41.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 28.05
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 37.73,
              "estimated_amount": 37.73
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 37.73,
              "estimated_amount": 37.73
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 37.73,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 39.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 38.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 32.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 141.49,
              "estimated_amount": 141.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 141.49,
              "estimated_amount": 141.49
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 37.73,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 37.73,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 28.31
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 55.72,
              "estimated_amount": 55.72
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 43.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 32.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 41.82
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 37.73,
              "estimated_amount": 37.73
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 37.73,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 39.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 37.73,
              "estimated_amount": 37.73
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 28.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 28.05
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 37.73,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 39.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 32.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 141.49,
              "estimated_amount": 141.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 141.49,
              "estimated_amount": 141.49
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 38.25
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 51,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 43.35
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 33.2
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 37.23
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 28.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 32.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 32.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 32.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 141.49,
              "estimated_amount": 141.49
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 37.73,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 37.73,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 37.73,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 38.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 32.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 32.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 41.82
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 37.73,
              "estimated_amount": 37.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 38.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 141.49,
              "estimated_amount": 141.49
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 43.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 32.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 32.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 41.82
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 37.73,
              "estimated_amount": 37.73
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 44.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 32.23
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 28.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 37.73,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 38.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 38.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 32.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 141.49,
              "estimated_amount": 141.49
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 41.26
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 43.35
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 43.35
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 43.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 38.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 38.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 141.49,
              "estimated_amount": 141.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 141.49,
              "estimated_amount": 141.49
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 37.23
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 37.23
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 13.92
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 33.2
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 43.35
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 37.73,
              "estimated_amount": 37.73
            }
          ],
          "minimum": 37.73,
          "maximum": 141.49
        }
      ]
    },
    {
      "description": "\"Barrier Ring Brava 1-3-8\"\" Starter Hole Thin\"",
      "code_information": [
        {
          "code": "PX-CHCO12039",
          "type": "CDM"
        },
        {
          "code": "A4385",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 5.45,
          "discounted_cash": 3.54,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.47
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.45,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.45,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.47
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.45,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.52
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.45,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.47
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.45,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.45,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.45,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.45,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.63
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4.41
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.55
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.98
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.63
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.52
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.45,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.44
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.45,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5.45,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.45,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.45,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.44
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.45,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4.09
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.55
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.02
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.55
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 5.45
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1.49
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4.09
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.47
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.52
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.47
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.45,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.16
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.45,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.45,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.63
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.63
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 3.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.98
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.44
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.45,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.45,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.55
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.63
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.45,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.63
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.45,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4.41
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5.45,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4.78
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.47
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.98
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.16
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.45,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.63
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4.09
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.47
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.63
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3
            }
          ]
        }
      ]
    },
    {
      "description": "Hydrocolloid Drsg Replicare 6 in X 6 In",
      "code_information": [
        {
          "code": "PX-CHUN483200",
          "type": "CDM"
        },
        {
          "code": "A6235",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 11.99,
          "discounted_cash": 7.79,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.58
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7.81
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.19
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 9.94
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 9.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8.75
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.19
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 3.27
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8.75
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 7.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.83
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.83
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.83
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.83
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 11.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 9.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.83
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 9.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7.81
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 6.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 9.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 9.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 9.16
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.83
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.59
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.59
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7.81
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 6.65
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.19
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 8.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 9.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 6.65
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.19
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 8.99
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 10.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 10.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 8.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 9.7
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 6.65
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.19
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.19
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.19
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8.75
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.83
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 9.16
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.19
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 7.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.19
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 10.52
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.7
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 9.94
            }
          ]
        }
      ]
    },
    {
      "description": "HC Fine Needle Asp Biopsy W Fluoro Ea Addl Lesion",
      "code_information": [
        {
          "code": "PX-36100921",
          "type": "CDM"
        },
        {
          "code": "10008",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2704,
          "discounted_cash": 1757.6,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1708.93
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2217.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2217.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1735.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1735.97
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2704,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2704,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2704,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2065.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2704,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2298.4
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2241.62
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1487.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2187.54
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2298.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1735.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2065.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1735.97
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2704,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2704,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1760.3
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1973.92
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1973.92
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2298.4
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2028
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2028
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2298.4
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2298.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2371.41
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1487.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1708.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1708.93
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2241.62
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1760.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1735.97
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2704,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1760.3
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 738.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2217.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1487.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2241.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1735.97
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2704,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1760.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1735.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1735.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1735.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2065.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1708.93
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1487.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2371.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1708.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1708.93
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2298.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2704,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2704,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1760.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2065.86
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 1757.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1487.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1487.2
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2298.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1708.93
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2217.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2065.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2704,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2704,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 2379.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2065.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2704,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2704,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2704,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1784.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2217.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1487.2
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2298.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2217.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2217.28
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2028
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2704,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2298.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1735.97
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2704,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2704,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1973.92
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2298.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1708.93
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2298.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2704,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2187.54
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1973.92
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1973.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1735.97
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2704,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1973.92
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2298.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2217.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1735.97
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2704,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2704,
              "additional_payer_notes": "OP SURG "
            }
          ]
        }
      ]
    },
    {
      "description": "HC Punch Biopsy Skin Single Lesion",
      "code_information": [
        {
          "code": "PX-36100928",
          "type": "CDM"
        },
        {
          "code": "11104",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 664,
          "discounted_cash": 431.6,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 582.33
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 544.48
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 564.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 664,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 664,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 664,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 348.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 664,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 432.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 432.26
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 484.72
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 484.72
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 348.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "estimated_amount": 664
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 564.4
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 550.46
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 348.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 564.4
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 564.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 544.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 507.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 432.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 537.18
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 564.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 365.2
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 348.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 544.48
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 365.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 365.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 550.46
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 348.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 664,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 664,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 426.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 664,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 664,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 664,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 664,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 664,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "estimated_amount": 664
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 365.2
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 365.42,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 365.42,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 498
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 582.33
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 351.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 564.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 426.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 426.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 537.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 426.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 426.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 432.26
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 564.4
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 181.27
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 664,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 584.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 419.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 544.48
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 544.48
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 351.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 348.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 351.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 507.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 426.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 426.29
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 484.72
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 564.4
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 564.4
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 438.24
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 484.72
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 484.72
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "estimated_amount": 664
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 419.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 426.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 507.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 664,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 664,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 432.26
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 484.72
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 498
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 664,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 664,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 664,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "estimated_amount": 664
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 564.4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 564.4
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 664,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 431.6
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 664,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 419.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 544.48
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 544.48
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 365.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 550.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 419.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 419.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 351.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 365.42,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "estimated_amount": 664
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 426.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 507.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 507.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 664,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 564.4
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 564.4
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 564.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 419.65
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 365.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 351.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 365.42,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 348.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 419.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 419.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 544.48
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 365.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 426.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 426.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 664,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 426.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 664,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 498
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 348.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 507.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 664,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 348.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 348.02,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Replacement of G-Tube Tube Perc WO Img W Revision",
      "code_information": [
        {
          "code": "PX-75000173",
          "type": "CDM"
        },
        {
          "code": "43763",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 4580,
          "discounted_cash": 2977,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 3352.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 3352.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3755.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3755.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2519
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3796.82
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3893
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 3370.88
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3343.4
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3893
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3499.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3499.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 3370.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4580,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4580,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3343.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 4580
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1250.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 3352.56
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2519
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.5,
              "estimated_amount": 3366.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 3370.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4580,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.5,
              "estimated_amount": 3366.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.5,
              "estimated_amount": 3366.3
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3893
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3893
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3755.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2519
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3893
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 3352.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 3352.56
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3893
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4580,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3343.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2519
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3435
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4580,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4580,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2981.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 3370.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4580,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3755.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2519
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3796.82
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 4030.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 3352.56
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2519
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 3370.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3499.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4580,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3893
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 3022.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4580,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4580,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3343.4
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3343.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4016.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4016.66
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3755.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 3370.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 3370.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4580,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3705.22
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3343.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 3370.88
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3893
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3893
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3893
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3893
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3435
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3755.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2519
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 3370.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4580,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3435
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3499.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 3370.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3499.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4580,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4580,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2981.58
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.5,
              "estimated_amount": 3366.3
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 2977
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3755.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3755.6
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3893
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3796.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4580,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2981.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2981.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3499.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 3370.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4580,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 3352.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 3370.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4580,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2981.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3705.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 3352.56
            }
          ]
        }
      ]
    },
    {
      "description": "HC Pt Developmental Testing, Ea Add 30 Min",
      "code_information": [
        {
          "code": "PX-42000132",
          "type": "CDM"
        },
        {
          "code": "96113",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 333,
          "discounted_cash": 216.45,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 210.46
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 183.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 333,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 333,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 276.06
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 333,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 293.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 254.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 254.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 269.4
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 243.09
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 283.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 213.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 213.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 333,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 243.09
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 283.05
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 90.91
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 283.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 210.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 273.06
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 183.15
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 333,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 276.06
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 333,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 333,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 213.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 213.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 213.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 333,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 216.78
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 216.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 254.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 333,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 333,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 333,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 184.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 273.06
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 283.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 210.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 210.46
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 333,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 269.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 213.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 213.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 333,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 243.09
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 283.05
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 283.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 183.15
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 333,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 333,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 283.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 273.06
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 333,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 249.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 333,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 333,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 216.78
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 333,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 283.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 210.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 273.06
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 183.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 183.15
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 276.06
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 333,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 273.06
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 183.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 213.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 333,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 216.78
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 243.09
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 184.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 333,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 243.09
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 333,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 333,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 333,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 283.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 210.46
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 333,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 333,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 216.78
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 184.82
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 184.82
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 333
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 283.05
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 243.09
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 283.05
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 249.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 210.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 273.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 273.06
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 333,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 210.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 273.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 213.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 254.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 213.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 333,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 213.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 333,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 333,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 333,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 333,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 333,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 249.75
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 219.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 292.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 183.15
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 333,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 292.04
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 333,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 283.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 254.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 254.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 333,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 333,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 216.78
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 333,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 283.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 213.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 333,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 333,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 333,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 283.05
            }
          ]
        }
      ]
    },
    {
      "description": "HC Resp Motion Mgmt Simulation",
      "code_information": [
        {
          "code": "PX-33300053",
          "type": "CDM"
        },
        {
          "code": "77293",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 3798,
          "discounted_cash": 2468.7,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2400.34
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2088.9
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3798,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3798,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3072.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2438.32
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2772.54
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3228.3
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3228.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3798,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2472.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2772.54
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 3798
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3798,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2772.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2400.34
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2088.9
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 831.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3114.36
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3798,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3798,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3798,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 2468.7
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 2506.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2438.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2438.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2438.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3798,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3798,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2848.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2400.34
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3798,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3798,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3798,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3798,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3114.36
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3114.36
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2088.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3798,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2901.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2438.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3798,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2107.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3798,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3798,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3798,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2472.5
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3798,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3798,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3798,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3228.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2400.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3114.36
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2088.9
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3798,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3798,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2400.34
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3148.54
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3798,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3798,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2848.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2438.32
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2772.54
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2772.54
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3228.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2438.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3798,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3798,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3798,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2107.89
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3228.3
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2848.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3330.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3114.36
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3798,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3798,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2088.9
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3148.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2438.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3798,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2472.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3228.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2901.67
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2472.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3072.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2400.34
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3798,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3798,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 3342.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3330.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3114.36
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3148.54
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3228.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2438.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2901.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2901.67
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2107.89
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3228.3
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3228.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2438.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3798,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3798,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1036.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3228.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2400.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3114.36
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3228.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2088.9
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3798,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2438.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2901.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3798,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3798,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3228.3
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3228.3
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3798,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2438.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3798,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2472.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2772.54
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2107.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2400.34
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3798,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2901.67
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3114.36
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2088.9
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3228.3
            }
          ]
        }
      ]
    },
    {
      "description": "Ide G140178 Onyx Resolute Coronary Stent B",
      "code_information": [
        {
          "code": "PX-62400208",
          "type": "CDM"
        },
        {
          "code": "C1874",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 900,
          "discounted_cash": 585,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 568.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 738
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 495
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 900,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 728.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 499.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 765
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 900,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 585.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 585.9
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 900,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 765
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 765
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 568.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 568.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 738
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 495
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 900,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 900,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 495
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 687.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 900,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 900,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 765
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 577.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 568.8
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 900,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 495
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 900,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 765
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 577.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 577.8
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 900,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 499.5
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 765
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 585.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 585.9
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 900
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 765
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 738
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 900,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 900,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 568.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 495
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 900,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 746.1
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 765
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 585.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 577.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 900,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 657
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 499.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 765
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 245.7
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 675
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 900,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 746.1
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 900,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 900,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 900,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 765
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 675
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 789.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 738
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 495
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 900,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 792
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 577.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 687.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 577.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 687.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 900,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 657
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 765
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 577.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 577.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 900,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 765
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 568.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 568.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 738
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 746.1
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 900,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 687.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 577.8
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 900,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 657
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 594
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 577.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 577.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 900,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 900,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 900,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 585
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 675
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 900,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 495
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 900,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 765
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 687.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 900,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 900,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 577.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 687.6
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 657
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 657
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 499.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 568.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 738
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 738
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 738
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 900,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 900,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 900,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 728.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 900,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 900,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 657
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 900,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 900,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 789.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 900,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 900,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 900,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 765
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 900,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 900,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Trauma Activation Fee Cat 2 Lev 2",
      "code_information": [
        {
          "code": "PX-68200002",
          "type": "CDM"
        },
        {
          "code": "G0390",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 15175,
          "discounted_cash": 9863.75,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9590.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 13308.48
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 12443.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8346.25
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12898.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 11593.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9742.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9742.35
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 9863.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9742.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9742.35
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11077.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 15175
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 12580.08
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8346.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 11593.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15175,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15175,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 9878.93
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11077.75
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12898.75
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12898.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15175,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11077.75
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 4142.78
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12898.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9590.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9590.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8346.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9590.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9590.6
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 12580.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 11593.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15175,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15175,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15175,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 8422.13
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 12443.5
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12898.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8346.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15175,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15175,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 9878.93
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11077.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 8422.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 11593.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15175,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 12276.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9590.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 12443.5
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12898.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9742.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15175,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15175,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 8422.13
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 11381.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9742.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 11593.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9742.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15175,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11077.75
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12898.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 13308.48
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 12443.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9742.35
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 11381.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 8422.13
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12898.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9742.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15175,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11077.75
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12898.75
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12898.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9590.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9590.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 12443.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 12580.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15175,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 9878.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 11593.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15175,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 12443.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 12443.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 12443.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8346.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8346.25
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 13354
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9742.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15175,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 9878.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 12276.58
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 11381.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9742.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9742.35
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12898.75
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12898.75
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 10015.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8346.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15175,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 9878.93
            }
          ]
        }
      ]
    },
    {
      "description": "Tweezer Deluxe With Slant Tip Black",
      "code_information": [
        {
          "code": "PX-CHIMCGDDWE00374",
          "type": "CDM"
        },
        {
          "code": "A9270",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1,
          "discounted_cash": 0.65,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            }
          ]
        }
      ]
    },
    {
      "description": "Foley Insert Tray Lubricathltx 24 Fr 5 Cc Bardex No Bag.Tray",
      "code_information": [
        {
          "code": "PX-CHBA730124",
          "type": "CDM"
        },
        {
          "code": "A4311",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 12.17,
          "discounted_cash": 7.91,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 10.67
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 9.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 9.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 8.03
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.98
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 9.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 9.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 9.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8.88
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.81
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8.88
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 10.09
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.98
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7.92
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 6.75
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.34
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.34
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.81
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 6.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8.88
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.34
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 7.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.69
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.98
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.98
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 10.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 9.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 6.75
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 3.32
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 9.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7.92
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.34
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.69
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.98
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 9.13
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 10.71
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.69
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.69
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.81
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8.88
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 6.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 9.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 10.67
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.69
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.69
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 10.09
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8.88
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 12.17
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 9.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.69
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.34
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.69
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.69
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 9.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.98
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8.88
            }
          ]
        }
      ]
    },
    {
      "description": "Barrier Strip Elastic Brava C-Shaped X-Lrg Strip",
      "code_information": [
        {
          "code": "PX-CHCO120761",
          "type": "CDM"
        },
        {
          "code": "A5121",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 3.6,
          "discounted_cash": 2.34,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.06
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 2.34
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.63
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.06
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.98
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2.91
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.34
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2.98
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.28
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.63
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.06
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.06
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 2.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2.91
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.31
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.98
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.98
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.63
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 3.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.34
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.28
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.06
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2.7
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 3.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.34
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.63
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.06
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.34
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2.7
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.98
            }
          ]
        }
      ]
    },
    {
      "description": "HC Inf Agnt Det Optical Obs Nos",
      "code_information": [
        {
          "code": "PX-30600286",
          "type": "CDM"
        },
        {
          "code": "87899",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 233,
          "discounted_cash": 151.45,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 147.26
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 16.07,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 16.07,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 16.07,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16.87,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 178.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 60.26,
              "estimated_amount": 60.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 60.26,
              "estimated_amount": 60.26
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 16.07,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16.07,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 129.32
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 198.05
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 151.45
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 198.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 149.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 149.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 178.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 60.26,
              "estimated_amount": 60.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 60.26,
              "estimated_amount": 60.26
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 170.09
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 191.06
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 198.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 191.06
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 193.16
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 16.07,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16.87,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 60.26,
              "estimated_amount": 60.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 60.26,
              "estimated_amount": 60.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 60.26,
              "estimated_amount": 60.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 60.26,
              "estimated_amount": 60.26
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 233
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 16.07,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16.07,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 198.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 178.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 149.59
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 129.32
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 153.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 147.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 191.06
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.07,
              "estimated_amount": 16.07
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.07,
              "estimated_amount": 16.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 191.06
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 128.15
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.07,
              "estimated_amount": 16.07
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 174.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 178.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 149.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 60.26,
              "estimated_amount": 60.26
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 16.07,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16.07,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 63.61
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 198.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 191.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 191.06
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 128.15
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 16.07,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16.87,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 233,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 60.26,
              "estimated_amount": 60.26
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 198.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 149.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 151.68
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 198.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 147.26
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 193.16
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 193.16
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 16.07,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 147.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 60.26,
              "estimated_amount": 60.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 151.68
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 170.09
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 198.05
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.53,
              "estimated_amount": 17.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 149.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 149.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 149.59
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 170.09
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 129.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 147.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 147.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 191.06
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 16.07,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 16.07,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.07,
              "estimated_amount": 16.07
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 198.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 128.15
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.07,
              "estimated_amount": 16.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 149.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 60.26,
              "estimated_amount": 60.26
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 198.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 60.26,
              "estimated_amount": 60.26
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 205.04
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 151.68
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 170.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 149.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 149.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 60.26,
              "estimated_amount": 60.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 60.26,
              "estimated_amount": 60.26
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 170.09
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 198.05
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.53,
              "estimated_amount": 17.53
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 174.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 174.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 128.15
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.07,
              "estimated_amount": 16.07
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 233,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 233,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 147.26
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 128.15
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 16.07,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16.87,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 198.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 178.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 151.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 60.26,
              "estimated_amount": 60.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 188.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 188.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 170.09
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 129.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 204.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 191.06
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 128.15
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.07,
              "estimated_amount": 16.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 147.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 204.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 149.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 178.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 60.26,
              "estimated_amount": 60.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 151.68
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 198.05
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 198.05
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.53,
              "estimated_amount": 17.53
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 128.15
            }
          ],
          "minimum": 16.07,
          "maximum": 60.26
        }
      ]
    },
    {
      "description": "HC Allograft 10mm Disc Floweraminopatch",
      "code_information": [
        {
          "code": "PX-27200503",
          "type": "CDM"
        },
        {
          "code": "Q4178",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1858,
          "discounted_cash": 1207.7,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1174.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1174.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1174.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1523.56
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1579.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1192.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1192.84
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1579.3
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 1207.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1192.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1419.51
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1579.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1629.47
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1021.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1858,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1540.28
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1540.28
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1858,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1858,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1858,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1858,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1192.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1858,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1858,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1192.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1192.84
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1031.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1174.26
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1021.9
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1858,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 406.9
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1858,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1635.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1858,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1858,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1209.56
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1579.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1192.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1858,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1021.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1858,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1540.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1174.26
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1858,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1192.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1858,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1858,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1579.3
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1579.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1174.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1523.56
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1858,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1356.34
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1579.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1419.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1858,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1858,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1858,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1393.5
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1579.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1523.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1523.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1523.56
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1021.9
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1858,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1858,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1858,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1858,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1858,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1858,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1356.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1419.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1192.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1209.56
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1858,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1393.5
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1579.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1174.26
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1858,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1021.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1419.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1858,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1858,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1503.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1503.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1209.56
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1356.34
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1356.34
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1579.3
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1579.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1192.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1209.56
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1226.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1174.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1523.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1523.56
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1858,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1629.47
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1523.56
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1858,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1579.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1192.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1419.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1419.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1858,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1858,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1209.56
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1356.34
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1356.34
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1031.19
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1858,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1031.19
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 507.23
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1858,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1393.5
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1579.3
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1579.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1192.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1858,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1858,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1858,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1031.19
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1858
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1858,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1021.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1021.9
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1858,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Allograft 2 X 2cm Floweramniopatch per Sq Cm",
      "code_information": [
        {
          "code": "PX-27200506",
          "type": "CDM"
        },
        {
          "code": "Q4178",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 600,
          "discounted_cash": 390,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 379.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 492
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 600,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 510
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 510
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 390.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 390.6
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 438
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 438
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 510
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 458.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 600,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 600,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 438
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 510
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 450
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 600,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 379.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 379.2
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 600,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 600,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 510
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 385.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 385.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 600,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 600,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 333
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 510
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 385.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 600,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 600,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 600
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 510
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 330
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 600,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 600,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 600,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 600,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 333
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 163.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 385.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 385.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 600,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 438
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 600,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 450
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 510
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 600,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 379.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 330
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 330
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 497.4
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 600,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 600,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 385.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 458.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 485.4
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 438
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 600,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 385.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 385.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 458.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 600,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 600,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 600,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 390.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 526.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 497.4
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 600,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 510
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 330
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 600,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 385.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 385.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 600,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 333
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 390
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 333
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 510
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 396
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 600,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 379.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 379.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 492
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 330
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 600,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 600,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 510
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 458.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 600,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 492
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 600,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 600,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 492
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 600,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 385.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 390.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 390.6
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 600,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 510
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 385.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 458.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 600,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 600,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 510
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 510
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 379.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 379.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 492
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 330
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 528
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 492
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 600,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 485.4
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 438
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 600,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 492
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 600,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 497.4
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 600,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 458.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 600,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 450
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 526.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 492
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 330
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 600,
              "additional_payer_notes": "OUTPATIENT"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Organic Acids Qualitative Each So",
      "code_information": [
        {
          "code": "PX-30101046",
          "type": "CDM"
        },
        {
          "code": "83919",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 153,
          "discounted_cash": 99.45,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 153,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 130.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.25,
              "estimated_amount": 35.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.25,
              "estimated_amount": 35.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 61.69,
              "estimated_amount": 61.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 61.69,
              "estimated_amount": 61.69
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.36,
              "estimated_amount": 21.36
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 99.45
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.45,
              "estimated_amount": 16.45
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 130.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 33.89,
              "estimated_amount": 33.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 61.69,
              "estimated_amount": 61.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 153,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 16.45,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16.61,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.45,
              "estimated_amount": 16.45
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.45,
              "estimated_amount": 16.45
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 23.42,
              "estimated_amount": 23.42
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 16.45,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 17.27,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 114.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 84.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 16.45,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16.61,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.36,
              "estimated_amount": 21.36
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 130.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.25,
              "estimated_amount": 35.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 33.89,
              "estimated_amount": 33.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 61.69,
              "estimated_amount": 61.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 61.69,
              "estimated_amount": 61.69
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 84.15
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 16.45,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 17.27,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 125.46
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.45,
              "estimated_amount": 16.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 61.69,
              "estimated_amount": 61.69
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.36,
              "estimated_amount": 21.36
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.36,
              "estimated_amount": 21.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.25,
              "estimated_amount": 35.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 61.69,
              "estimated_amount": 61.69
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 111.69
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.1,
              "estimated_amount": 14.1
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 25,
              "estimated_amount": 38.25
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.45,
              "estimated_amount": 16.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 153,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 153,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 84.15
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 16.45,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 17.27,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.45,
              "estimated_amount": 16.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 125.46
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 84.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 16.45,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16.61,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 130.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.25,
              "estimated_amount": 35.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.25,
              "estimated_amount": 35.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 61.69,
              "estimated_amount": 61.69
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 130.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 61.69,
              "estimated_amount": 61.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 61.69,
              "estimated_amount": 61.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 61.69,
              "estimated_amount": 61.69
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 111.69
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 23.42,
              "estimated_amount": 23.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 125.46
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.36,
              "estimated_amount": 21.36
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.45,
              "estimated_amount": 16.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.35,
              "estimated_amount": 19.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 153,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 125.46
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 84.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 84.15
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 16.45,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16.61,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 134.64
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 130.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 33.89,
              "estimated_amount": 33.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.25,
              "estimated_amount": 35.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 61.69,
              "estimated_amount": 61.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 61.69,
              "estimated_amount": 61.69
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.36,
              "estimated_amount": 21.36
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 114.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 61.69,
              "estimated_amount": 61.69
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 130.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 125.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 125.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.25,
              "estimated_amount": 35.25
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 111.69
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.1,
              "estimated_amount": 14.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 61.69,
              "estimated_amount": 61.69
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 114.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.35,
              "estimated_amount": 19.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 125.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 153,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.25,
              "estimated_amount": 35.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.36,
              "estimated_amount": 21.36
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 153
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 33.89,
              "estimated_amount": 33.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.25,
              "estimated_amount": 35.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.1,
              "estimated_amount": 14.1
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 130.05
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 130.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 153,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 125.46
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 84.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 153,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 16.45,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16.61,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.45,
              "estimated_amount": 16.45
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.36,
              "estimated_amount": 21.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.25,
              "estimated_amount": 35.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.36,
              "estimated_amount": 21.36
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 111.69
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 130.05
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 130.05
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 23.42,
              "estimated_amount": 23.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.25,
              "estimated_amount": 35.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 33.89,
              "estimated_amount": 33.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 61.69,
              "estimated_amount": 61.69
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 111.69
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 16.45,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 16.45,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.45,
              "estimated_amount": 16.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 33.89,
              "estimated_amount": 33.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 61.69,
              "estimated_amount": 61.69
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.36,
              "estimated_amount": 21.36
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 111.69
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 16.45,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.1,
              "estimated_amount": 14.1
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 130.05
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 16.45,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 17.27,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            }
          ],
          "minimum": 14.1,
          "maximum": 61.69
        }
      ]
    },
    {
      "description": "HC Hiv or Htlv Antibody Confirm So",
      "code_information": [
        {
          "code": "PX-30200603",
          "type": "CDM"
        },
        {
          "code": "86689",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 350,
          "discounted_cash": 227.5,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 221.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 221.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 287
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 192.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 224.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 72.56,
              "estimated_amount": 72.56
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 297.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 224.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 224.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 72.56,
              "estimated_amount": 72.56
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 255.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 287
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 287
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 19.35,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 20.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 297.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 287
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 287
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 192.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 72.56,
              "estimated_amount": 72.56
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 255.5
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 297.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 72.56,
              "estimated_amount": 72.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 227.85
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 255.5
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 19.35,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 19.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 194.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 194.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 194.25
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 290.15
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 297.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 19.35,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 19.54,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 227.5
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 28.29,
              "estimated_amount": 28.29
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 262.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 224.7
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 255.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 297.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 192.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 290.15
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.35,
              "estimated_amount": 19.35
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 19.35,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 20.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 19.35,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 19.54,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 19.35,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 20.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 224.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 224.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 227.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 72.56,
              "estimated_amount": 72.56
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 297.5
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 297.5
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 231
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 221.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 19.35,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 19.54,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 306.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 221.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 287
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 192.5
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 19.35,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 19.54,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 297.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 283.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 227.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 297.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 297.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 267.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 224.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 224.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 72.56,
              "estimated_amount": 72.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 72.56,
              "estimated_amount": 72.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 72.56,
              "estimated_amount": 72.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 19.35,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 19.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 221.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 287
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 297.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 221.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 224.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 267.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 267.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 72.56,
              "estimated_amount": 72.56
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 255.5
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 19.35,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 19.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 28.29,
              "estimated_amount": 28.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 224.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 72.56,
              "estimated_amount": 72.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 72.56,
              "estimated_amount": 72.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 283.15
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 350
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 297.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 221.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 192.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 19.35,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 19.54,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 290.15
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.35,
              "estimated_amount": 19.35
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 19.35,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 20.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.35,
              "estimated_amount": 19.35
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.35,
              "estimated_amount": 19.35
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 308
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 95.55
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 297.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 72.56,
              "estimated_amount": 72.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 72.56,
              "estimated_amount": 72.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 227.85
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 255.5
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 262.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 221.2
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.35,
              "estimated_amount": 19.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 287
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 262.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 72.56,
              "estimated_amount": 72.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 227.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 194.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 224.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 267.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 267.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 224.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 72.56,
              "estimated_amount": 72.56
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 192.5
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 28.29,
              "estimated_amount": 28.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 267.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 72.56,
              "estimated_amount": 72.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 72.56,
              "estimated_amount": 72.56
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 297.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 306.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 192.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.35,
              "estimated_amount": 19.35
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.35,
              "estimated_amount": 19.35
            }
          ],
          "minimum": 19.35,
          "maximum": 72.56
        }
      ]
    },
    {
      "description": "HC Histoplasma Antgn Quant Eia Mvist So",
      "code_information": [
        {
          "code": "PX-30200606",
          "type": "CDM"
        },
        {
          "code": "87385",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 225,
          "discounted_cash": 146.25,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 142.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 144.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 49.69,
              "estimated_amount": 49.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 49.69,
              "estimated_amount": 49.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 49.69,
              "estimated_amount": 49.69
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 146.48
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 13.25,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.25,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 148.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 144.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 49.69,
              "estimated_amount": 49.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 49.69,
              "estimated_amount": 49.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 49.69,
              "estimated_amount": 49.69
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 124.88
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 13.25,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.25,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 61.43
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 191.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 197.33
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 184.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 184.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 186.53
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 13.25,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 225,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 184.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 123.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 123.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 13.25,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.38,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.25,
              "estimated_amount": 13.25
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.53,
              "estimated_amount": 17.53
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 191.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 144.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 124.88
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 191.25
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.53,
              "estimated_amount": 17.53
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 191.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 49.69,
              "estimated_amount": 49.69
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 164.25
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 191.25
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.25,
              "estimated_amount": 13.25
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 191.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 197.33
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 123.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 171.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 171.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 49.69,
              "estimated_amount": 49.69
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 191.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 49.69,
              "estimated_amount": 49.69
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 182.03
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 13.25,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.25,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 123.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 13.25,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.38,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 123.75
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.25,
              "estimated_amount": 13.25
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 191.25
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 225,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 144.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 49.69,
              "estimated_amount": 49.69
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 164.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 171.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 49.69,
              "estimated_amount": 49.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 49.69,
              "estimated_amount": 49.69
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 182.03
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 164.25
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 164.25
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 191.25
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 146.25
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.53,
              "estimated_amount": 17.53
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 191.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 142.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 142.2
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.25,
              "estimated_amount": 13.25
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 186.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 142.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 142.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 171.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 144.45
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 168.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 144.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 144.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 49.69,
              "estimated_amount": 49.69
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 191.25
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 191.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.25,
              "estimated_amount": 13.25
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 13.25,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 142.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 184.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 13.25,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.38,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 144.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 171.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 144.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 49.69,
              "estimated_amount": 49.69
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 13.25,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 168.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 144.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 144.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 225
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 184.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 123.75
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 191.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.25,
              "estimated_amount": 13.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 144.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 146.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 49.69,
              "estimated_amount": 49.69
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 191.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 142.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 184.5
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.25,
              "estimated_amount": 13.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 142.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 123.75
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 186.53
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 13.25,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 225,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 168.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 146.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 146.48
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 164.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 124.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 184.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 13.25,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.38,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 171.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 49.69,
              "estimated_amount": 49.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 49.69,
              "estimated_amount": 49.69
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 146.48
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 164.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 124.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 184.5
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 13.25,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.38,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 198
            }
          ],
          "minimum": 13.25,
          "maximum": 49.69
        }
      ]
    },
    {
      "description": "HC Stab Phlb Veins 1 Extr > 20 Incis",
      "code_information": [
        {
          "code": "PX-36100762",
          "type": "CDM"
        },
        {
          "code": "37766",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 14232,
          "discounted_cash": 9250.8,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8994.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8994.62
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 11670.24
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2921.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2921.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 14232,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 12524.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 11513.69
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12097.2
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 10674
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14232,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12097.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 11670.24
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12097.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7827.6
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 14232,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 14232,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9136.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14232,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14232,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2781.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 9250.8
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12097.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9136.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 10873.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 10873.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 10873.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14232,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14232,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 11513.69
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "estimated_amount": 14232
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12097.2
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12097.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8994.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 12481.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8994.62
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 11670.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 11670.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7827.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2809.81,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 3116.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 12481.46
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7827.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2809.81,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2781.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 11798.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9136.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 10873.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 9265.03
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "estimated_amount": 14232
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8994.62
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2781.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2781.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8994.62
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7827.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7827.6
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2921.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12097.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9136.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9136.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9136.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14232,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14232,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14232,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14232,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14232,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2781.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2781.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 11670.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9136.94
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 10389.36
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "estimated_amount": 14232
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 3885.34
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 18,
              "estimated_amount": 2561.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14232,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 9265.03
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "estimated_amount": 14232
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 10674
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 18,
              "estimated_amount": 2561.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8994.62
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 11670.24
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 10674
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12097.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 11798.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9136.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9136.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 10873.25
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 10389.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 10873.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9136.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9136.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 9265.03
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 9393.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 11670.24
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2809.81,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12097.2
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12097.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9136.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14232,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14232,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 9265.03
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12097.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14232,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14232,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 10389.36
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 10389.36
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12097.2
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12097.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7827.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7827.6
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 11798.33
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2809.81,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2781.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2781.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14232,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14232,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 9265.03
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2781.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "estimated_amount": 14232
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 10389.36
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 10389.36
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12097.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8994.62
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 11670.24
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2781.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2809.81,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2921.09,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Holster Vest Small",
      "code_information": [
        {
          "code": "PX-27400097",
          "type": "CDM"
        },
        {
          "code": "Q0498",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1265,
          "discounted_cash": 822.25,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 828.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 771.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 823.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 966.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 771.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 948.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 828.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 828.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1037.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 695.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1037.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 695.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 810.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 771.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 808.34
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 702.08
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 702.08
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 345.35
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 822.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 808.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 808.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 823.52
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1075.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 828.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 828.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1037.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 966.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 771.65
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 923.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 810.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 771.65
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1075.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 695.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 695.75
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1075.25
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1075.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1023.39
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 702.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 810.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 810.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 966.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 771.65
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1075.25
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1075.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1037.3
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 948.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1037.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 810.87
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 702.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 810.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 966.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 810.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 966.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 823.52
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 948.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 828.58
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1113.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 810.87
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 823.52
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 923.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 810.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 808.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1037.3
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1048.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 771.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 771.65
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 923.45
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1075.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 810.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 810.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 771.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 771.65
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1075.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 828.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1109.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1109.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 810.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 771.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1023.39
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 923.45
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 923.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1265
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1075.25
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 834.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 966.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 771.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 823.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 828.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1037.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 695.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 695.75
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1048.69
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1075.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 771.65
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 923.45
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1075.25
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1075.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1037.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 695.75
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1048.69
            }
          ]
        }
      ]
    },
    {
      "description": "Ide G140059 Pro1148561 Evolut R",
      "code_information": [
        {
          "code": "PX-62400124",
          "type": "CDM"
        },
        {
          "code": "L8699",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 33000,
          "discounted_cash": 21450,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 20856
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 27060
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 27357
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 28050
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 28050
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 21186
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 21186
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 33000,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 33000,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 33000,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 21450
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 21186
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 21186
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 24090
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 18315
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 28050
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 28050
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 28050
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 28941
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 33000,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 25212
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 33000,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 33000,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 18315
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 28050
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 33000,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 18150
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 18150
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 33000,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 33000,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 27060
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 33000,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 21186
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 24090
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 21780
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 25212
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 33000,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 33000,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 21483
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 21483
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 24750
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 27060
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 33000,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 33000,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 27060
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 18150
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 21186
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 9009
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 25212
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 33000,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 24090
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 28050
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 18150
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 33000,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 33000,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 33000,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 33000,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 28050
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 29040
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 20856
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 18150
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 27357
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 21186
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 33000,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 21483
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 26697
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 33000,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 28050
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 28050
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 28050
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 25212
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 33000,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 26697
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 24090
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 18315
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 20856
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 20856
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 27357
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 33000,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 33000,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 33000,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 28050
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 25212
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 21186
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 21186
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 24750
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 25212
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 33000,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 21483
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 24090
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 18150
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 28941
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 27060
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 18150
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 33000,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 33000,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 21186
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 33000,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 33000,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 21483
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 33000,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 33000,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 33000,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 18315
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 28050
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 33000,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 33000,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 20856
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 33000,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 33000,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 33000,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 20856
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 20856
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 20856
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 27060
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 21186
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 21186
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 33000,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 33000
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 24090
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 24750
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 7227
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 33000,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 28050
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 27060
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 27060
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 33000,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Asp or Inj Joint Large W US Guidance",
      "code_information": [
        {
          "code": "PX-36100766",
          "type": "CDM"
        },
        {
          "code": "20611",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 4821,
          "discounted_cash": 3133.65,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3046.87
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3953.22
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2651.55
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3615.75
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4097.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3095.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4821,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4821,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4821,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4821,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3900.19
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3519.33
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 3181.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3095.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3095.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4821,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4821,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4821,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4097.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3046.87
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3953.22
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 253.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "estimated_amount": 140
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 4242.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3683.24
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3900.19
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 253.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3095.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3095.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4821,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "estimated_amount": 3580
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3953.22
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2651.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 261.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3996.61
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4097.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3953.22
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 253.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 265.69,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3095.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4821,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4821,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3138.47
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "estimated_amount": 3580
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "estimated_amount": 3580
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4097.85
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3615.75
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4821,
              "additional_payer_notes": " ASC LISTED"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4097.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3095.08
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4097.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4228.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3046.87
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3953.22
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 253.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3683.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3095.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4821,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3519.33
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "estimated_amount": 3580
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 253.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4097.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4821,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3953.22
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 253.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 265.69,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 261.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2651.55
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4097.85
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4097.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4821,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3519.33
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4097.85
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4821,
              "additional_payer_notes": " ASC LISTED"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3095.08
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3519.33
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 3133.65
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4097.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3046.87
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2651.55
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 265.69,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4821,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4821,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3953.22
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2651.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3095.08
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 253.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4821,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4821,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4821,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3138.47
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 261.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3996.61
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 253.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2651.55
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 265.69,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3095.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4821,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3138.47
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3519.33
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "estimated_amount": 3580
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4097.85
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1316.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3683.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3683.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3683.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3046.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3046.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4228.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3046.87
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3953.22
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 253.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4097.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3095.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3138.47
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3519.33
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4097.85
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3615.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3046.87
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2651.55
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 253.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3996.61
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4821,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3683.24
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3138.47
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 261.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 261.09,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "Mrph Alys Ish Quant Semiq Comp Addl Sendout",
      "code_information": [
        {
          "code": "PX-31000134",
          "type": "CDM"
        },
        {
          "code": "88373",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1103,
          "discounted_cash": 716.95,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 697.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 842.69
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 805.19
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 937.55
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 937.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 708.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 708.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 166.46,
              "estimated_amount": 166.46
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 612.17
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 727.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 697.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 904.46
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 970.64
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 827.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 708.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 842.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 166.46,
              "estimated_amount": 166.46
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 937.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 708.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 708.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 166.46,
              "estimated_amount": 166.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 166.46,
              "estimated_amount": 166.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 892.33
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 805.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 697.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 967.33
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 937.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 166.46,
              "estimated_amount": 166.46
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 805.19
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 937.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 842.69
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 805.19
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 937.55
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 914.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 904.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 904.46
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 606.65
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 914.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 708.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 718.05
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1103
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 301.12
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 827.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 718.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 718.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 697.1
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 937.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 606.65
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 606.65
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 937.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 166.46,
              "estimated_amount": 166.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 166.46,
              "estimated_amount": 166.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 718.05
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 937.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 708.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 708.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 166.46,
              "estimated_amount": 166.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 904.46
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 606.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 904.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 904.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 842.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 166.46,
              "estimated_amount": 166.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 166.46,
              "estimated_amount": 166.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 166.46,
              "estimated_amount": 166.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 708.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 842.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 166.46,
              "estimated_amount": 166.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 166.46,
              "estimated_amount": 166.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 892.33
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 612.17
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 606.65
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 606.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 166.46,
              "estimated_amount": 166.46
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 827.25
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 716.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 708.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 708.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 842.69
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 805.19
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 937.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 904.46
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 914.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 697.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 697.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 904.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 166.46,
              "estimated_amount": 166.46
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 937.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 708.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 166.46,
              "estimated_amount": 166.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 166.46,
              "estimated_amount": 166.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 718.05
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 805.19
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 612.17
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 612.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 697.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 967.33
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 606.65
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 937.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 697.1
            }
          ],
          "minimum": 166.46,
          "maximum": 166.46
        }
      ]
    },
    {
      "description": "HC Atherectomy W Stent Addl Branch",
      "code_information": [
        {
          "code": "PX-48100045",
          "type": "CDM"
        },
        {
          "code": "92934",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 14124,
          "discounted_cash": 9180.6,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8926.37
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 11581.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 11426.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 11426.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9067.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14124,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8926.37
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 11581.68
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7768.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7768.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9067.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9067.61
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12005.4
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12005.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 10790.74
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 10310.52
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 10310.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 12386.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8926.37
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 11581.68
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7768.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 10790.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14124,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14124,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 9194.72
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14124,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12005.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14124,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8926.37
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 11581.68
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 11708.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8926.37
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7768.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 11708.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9067.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9067.61
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14124,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 10790.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14124,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8926.37
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 11581.68
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12005.4
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 12429.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 10790.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14124,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14124,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14124,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12005.4
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12005.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9067.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14124,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14124,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 3855.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8926.37
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8926.37
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7768.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 11581.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 11581.68
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7768.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14124,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12005.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 9194.72
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 10310.52
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 10310.52
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14124,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12005.4
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 10593
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9067.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9067.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14124,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 9194.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 12386.75
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12005.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 11581.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9067.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14124,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14124,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14124,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 9180.6
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12005.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 10790.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 9194.72
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 10310.52
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12005.4
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12005.4
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 11708.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9067.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14124,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14124,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 9194.72
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 9321.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9067.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14124,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 10593
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 10790.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9067.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14124,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 10310.52
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7768.2
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 10593
            }
          ]
        }
      ]
    },
    {
      "description": "HC Drug Screen Benzodiazepines 1-12 So",
      "code_information": [
        {
          "code": "PX-30101100",
          "type": "CDM"
        },
        {
          "code": "80346",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 152,
          "discounted_cash": 98.8,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 68.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 152,
              "additional_payer_notes": "REFERENCE LAB"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 152,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 152,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 152,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 152,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 152,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 152,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 110.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 124.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 124.64
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 152,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 129.2
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 133.76
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 152,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 95
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 110.96
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 129.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 95
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 110.96
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 84.36
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 129.2
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 129.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 124.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 124.64
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 76
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 129.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 152,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 129.2
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 27.02,
              "estimated_amount": 27.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 152,
              "additional_payer_notes": "REFERENCE LAB"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 152,
              "additional_payer_notes": "REFERENCE LAB"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 152,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 76
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 84.36
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 27.02,
              "estimated_amount": 27.02
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 129.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 124.64
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 83.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 83.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 68.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 124.64
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 83.6
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 76
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 110.96
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 129.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 152,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 129.2
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 114
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 68.4
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 129.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 68.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 68.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 68.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 95
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 110.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 95
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 129.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 68.4
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 129.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 152,
              "additional_payer_notes": "REFERENCE LAB"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 152,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 114
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 152,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 84.36
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 68.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 124.64
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 83.6
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 76
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 27.02,
              "estimated_amount": 27.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 152,
              "additional_payer_notes": "REFERENCE LAB"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 152,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 152
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 84.36
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 25,
              "estimated_amount": 38
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 114
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 152,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 76
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 98.8
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 100.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 68.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 83.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 83.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 152,
              "additional_payer_notes": "REFERENCE LAB"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 152,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 152,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 152,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 152,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 129.2
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 129.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 83.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 152,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 76
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 110.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 68.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 124.64
            }
          ],
          "minimum": 27.02,
          "maximum": 27.02
        }
      ]
    },
    {
      "description": "Hspc Room and Bed Convalarium at Indian Run",
      "code_information": [
        {
          "code": "PX-65900124",
          "type": "CDM"
        },
        {
          "code": "T2046",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 295,
          "discounted_cash": 191.75,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 258.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 189.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 295,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 163.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 189.39
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 215.35
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 194.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 186.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 241.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 295,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 295,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 192.05
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 163.73
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 250.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 221.25
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 295,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 189.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 189.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 295,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 295,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 192.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 238.66
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 215.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 186.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 162.25
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 244.56
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 250.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 162.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 162.25
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 250.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 295,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 215.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 225.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 295,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 192.05
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 215.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 162.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 186.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 189.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 295,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 250.75
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 250.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 163.73
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 250.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 186.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 241.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 225.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 225.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 295,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 295,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 215.35
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 250.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 221.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 225.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 189.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 295,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 250.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 241.9
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 244.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 258.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 241.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 189.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 189.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 295,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 215.35
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 295
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 189.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 295,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 241.9
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 244.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 186.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 241.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 162.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 162.25
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 259.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 295,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 189.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 295,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 295,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 238.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 186.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 241.9
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 250.75
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 221.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 225.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 189.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 189.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 225.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 295,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 250.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 192.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 192.05
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 163.73
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 80.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 186.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 162.25
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 250.75
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 295,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 186.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 241.9
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 250.75
            }
          ]
        }
      ]
    },
    {
      "description": "Hspc Room and Bed Mcnaughten Pointe",
      "code_information": [
        {
          "code": "PX-65900134",
          "type": "CDM"
        },
        {
          "code": "T2046",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 220.18,
          "discounted_cash": 143.12,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 193.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 139.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 180.55
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 187.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 141.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 220.18,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 145.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 141.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 141.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 220.18,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 187.15
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 220.18,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 139.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 180.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 180.55
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 193.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 143.34
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 220.18,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 187.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 121.1
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 182.53
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 165.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 141.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 220.18,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 220.18,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 220.18,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 220.18,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 160.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 220.18,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 122.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 122.2
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 187.15
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 165.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 193.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 121.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 139.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 139.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 121.1
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 182.53
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 182.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 143.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 143.34
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 122.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 220.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 168.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 141.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 168.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 141.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 220.18,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 220.18,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 220.18,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 187.15
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 187.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 121.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 121.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 180.55
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 187.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 141.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 141.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 168.22
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 165.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 220.18,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 220.18,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 143.34
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 160.73
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 121.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 141.36
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 160.73
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 187.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 168.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 220.18,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 178.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 178.13
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 160.73
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 187.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 139.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 139.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 180.55
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 187.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 139.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 220.18,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 160.73
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 187.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 141.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 220.18,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 122.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 180.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 121.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 180.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 180.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 141.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 220.18,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 60.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 168.22
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 160.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 139.15
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 187.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 141.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 168.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 220.18,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 143.34
            }
          ]
        }
      ]
    },
    {
      "description": "Cyp2d6 Full Gene Sequence Sendout",
      "code_information": [
        {
          "code": "PX-30401440",
          "type": "CDM"
        },
        {
          "code": "0071U",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 3672,
          "discounted_cash": 2386.8,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3220.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2320.7
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3121.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2357.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2250,
              "estimated_amount": 2250
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2390.47
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2680.56
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3121.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2357.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2357.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2250,
              "estimated_amount": 2250
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2250,
              "estimated_amount": 2250
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3011.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3011.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2320.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2019.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2250,
              "estimated_amount": 2250
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2970.65
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2037.96
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3121.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2357.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2250,
              "estimated_amount": 2250
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3121.2
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3121.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3011.04
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3044.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2805.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2250,
              "estimated_amount": 2250
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2970.65
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2680.56
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 2386.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2805.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2805.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2250,
              "estimated_amount": 2250
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2390.47
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1002.46
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2019.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2357.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2250,
              "estimated_amount": 2250
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2390.47
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2037.96
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 2423.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2390.47
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3121.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2320.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2019.6
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2754
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3011.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2019.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2250,
              "estimated_amount": 2250
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2390.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2357.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2805.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2357.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2250,
              "estimated_amount": 2250
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2680.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2037.96
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3121.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2320.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2320.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2320.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2019.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3011.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2019.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2357.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2357.42
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2754
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2357.42
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2680.56
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2680.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3220.34
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2019.6
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 3231.36
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3121.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2805.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2805.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2250,
              "estimated_amount": 2250
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2250,
              "estimated_amount": 2250
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2037.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2754
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2250,
              "estimated_amount": 2250
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2320.7
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3044.09
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3121.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2320.7
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3121.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2357.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2250,
              "estimated_amount": 2250
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2250,
              "estimated_amount": 2250
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3121.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2250,
              "estimated_amount": 2250
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 3672
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3121.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3011.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3011.04
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3044.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2357.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2250,
              "estimated_amount": 2250
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2680.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3011.04
            }
          ],
          "minimum": 2250,
          "maximum": 2250
        }
      ]
    },
    {
      "description": "Protective Underwear Ultra Sml-Med Maximum Abs",
      "code_information": [
        {
          "code": "PX-CHKN1430",
          "type": "CDM"
        },
        {
          "code": "A4520",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.41,
          "discounted_cash": 0.27,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.41,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.41,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.41,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.41,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.41,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.41,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.41,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.41,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.41,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.41,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.41,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.41,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.41,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.41,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.41,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.41,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.41,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.34
            }
          ]
        }
      ]
    },
    {
      "description": "\"Suction Cup Grab Bar 12 \"\" Chrome\"",
      "code_information": [
        {
          "code": "PX-CH6452115611912",
          "type": "CDM"
        },
        {
          "code": "E0241",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 23.36,
          "discounted_cash": 15.18,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 14.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 17.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 15.21
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 18.9
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 17.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 12.85
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 19.37
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 19.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 14.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 20.49
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 19.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 17.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 12.96
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 23.36
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 12.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 19.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 12.85
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 19.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 17.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 19.86
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 19.86
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 19.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 19.16
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 19.86
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 19.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 15.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 17.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 17.05
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 12.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 14.76
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 17.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 14.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 19.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 17.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 18.9
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 17.52
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 15.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 17.05
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 6.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 14.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 19.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 12.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 12.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 14.76
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 12.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 15.21
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 15.21
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 17.05
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 19.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 15.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 14.76
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 12.85
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 19.37
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 19.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 12.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 19.86
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 19.86
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 17.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 15
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 19.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 20.49
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 20.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 17.05
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 12.96
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 15.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 17.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 14.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 19.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 19.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 17.85
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 19.86
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 19.86
            }
          ]
        }
      ]
    },
    {
      "description": "\"Underpad 30\"\" X 30\"\" Peach Presto Supreme Heavy Absorbenc\"",
      "code_information": [
        {
          "code": "PX-CHPRTUP39030",
          "type": "CDM"
        },
        {
          "code": "A4554",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.46,
          "discounted_cash": 0.3,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.38
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.38
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.38
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.38
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.38
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.38
            }
          ]
        }
      ]
    },
    {
      "description": "Hydrophilic Wound Drsg 6g Powder Maltodexrin",
      "code_information": [
        {
          "code": "PX-CHDN46704",
          "type": "CDM"
        },
        {
          "code": "A6262",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 9.19,
          "discounted_cash": 5.97,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 8.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.54
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.05
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 7.62
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 8.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 6.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 5.1
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.81
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.54
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.81
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.98
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.81
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 6.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.81
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.81
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 7.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.71
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.71
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 9.19
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 5.1
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.81
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.54
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 7.62
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.05
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.81
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.9
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.81
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 7.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 2.51
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 5.97
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 6.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.81
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.05
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 6.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.02
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 5.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 5.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.9
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 8.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 7.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.98
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.02
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.81
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.54
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.9
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.71
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.81
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.54
            }
          ]
        }
      ]
    },
    {
      "description": "\"Cervical Collar Contoured 3\"\" L Scott Specialties Lrg 14\"\" X 18\"",
      "code_information": [
        {
          "code": "PX-CHSC3030LG",
          "type": "CDM"
        },
        {
          "code": "L0120",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 7.53,
          "discounted_cash": 4.89,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.76
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.14
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 31.12,
              "estimated_amount": 31.12
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 5.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 5.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4.9
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.4
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 5.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 5.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 31.12,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 31.12,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 31.12,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 31.12,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 31.12,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 32.68,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 7.53,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6.17
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6.17
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 31.12,
              "estimated_amount": 31.12
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 31.12,
              "estimated_amount": 31.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 5.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 6.09
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 7.53
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 7.53,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.4
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 6.24
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 31.12,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 32.68,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.4
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 6.09
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4.18
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.83
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4.9
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 31.12,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 31.12,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 31.12,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 32.68,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 7.53,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6.17
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 31.12,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 31.43,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 7.53,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.4
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 7.53,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6.17
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6.17
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 31.12,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 31.43,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 31.12,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 31.43,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.4
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 2.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 31.12,
              "estimated_amount": 31.12
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 31.12,
              "estimated_amount": 31.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.76
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 31.12,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 31.43,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.83
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4.9
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4.18
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.4
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.4
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.76
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 7.53,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 6.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.14
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.14
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.14
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 31.12,
              "estimated_amount": 31.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 5.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4.9
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5.5
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 4.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4.9
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4.18
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 4.89
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6.17
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6.17
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6.17
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.14
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 6.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.76
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 5.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 5.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 6.24
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 6.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4.18
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 5.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 6.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 31.12,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 31.43,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 31.12,
              "estimated_amount": 31.12
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 31.12,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 32.68,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            }
          ],
          "minimum": 31.12,
          "maximum": 31.12
        }
      ]
    },
    {
      "description": "Syringe Oral Medication 1ml With Tip Cap",
      "code_information": [
        {
          "code": "PX-CHBUR305217",
          "type": "CDM"
        },
        {
          "code": "A4649",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.3,
          "discounted_cash": 0.19,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.3,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.3,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.3,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.3,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.3,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.3,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.3,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.3,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.3,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.3,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.3,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.3,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.3,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.3,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.3,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.3,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.3,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.3,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.3,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.3,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.3,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.3,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.3,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.3,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.3,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.3,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.3,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 0.3,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.3,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.3,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.3,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.3,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.3,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.3,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.3,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.3,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.3,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 0.3,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.3,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.3,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.25
            }
          ]
        }
      ]
    },
    {
      "description": "Cnbp Gene Analysis, Evaluation to Detect Abnormal Alleles",
      "code_information": [
        {
          "code": "PX-30101441",
          "type": "CDM"
        },
        {
          "code": "81187",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 3631,
          "discounted_cash": 2360.15,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2294.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2294.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2294.79
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1997.05
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3010.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2331.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2774.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 513.75,
              "estimated_amount": 513.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 513.75,
              "estimated_amount": 513.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2363.78
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2650.63
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2650.63
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2937.48
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2650.63
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2015.21
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3086.35
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 2396.46
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1997.05
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 3195.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2294.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2977.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2977.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2977.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1997.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1997.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 513.75,
              "estimated_amount": 513.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2774.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2331.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 513.75,
              "estimated_amount": 513.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1997.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2977.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2331.1
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3086.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2774.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2331.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 513.75,
              "estimated_amount": 513.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 513.75,
              "estimated_amount": 513.75
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3086.35
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3086.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1997.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2774.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2331.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2331.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 513.75,
              "estimated_amount": 513.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2363.78
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2650.63
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2015.21
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3086.35
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3086.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2331.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 513.75,
              "estimated_amount": 513.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2015.21
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3086.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2977.42
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3010.1
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3086.35
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2723.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2331.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 513.75,
              "estimated_amount": 513.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 513.75,
              "estimated_amount": 513.75
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3086.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 513.75,
              "estimated_amount": 513.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2363.78
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2937.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2294.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2977.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2774.08
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3086.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 513.75,
              "estimated_amount": 513.75
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2650.63
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 991.26
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3086.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2331.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2774.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 513.75,
              "estimated_amount": 513.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2723.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1997.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2294.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2331.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2363.78
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 2360.15
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2650.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3184.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2294.79
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3010.1
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3086.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2331.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 513.75,
              "estimated_amount": 513.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2363.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 513.75,
              "estimated_amount": 513.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 513.75,
              "estimated_amount": 513.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 3631
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3184.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2331.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 513.75,
              "estimated_amount": 513.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2015.21
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2723.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2294.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2977.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2977.42
            }
          ],
          "minimum": 513.75,
          "maximum": 513.75
        }
      ]
    },
    {
      "description": "1 Pc Pre Cut Ext Wear 1 1-4 in Premier",
      "code_information": [
        {
          "code": "PX-CHHO8538",
          "type": "CDM"
        },
        {
          "code": "A4388",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 7.01,
          "discounted_cash": 4.56,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 6.15
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 6.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.01,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.01,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 5.67
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.01,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.01,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.89
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.96
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.86
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 5.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.01,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5.12
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5.12
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 4.63
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.43
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.86
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 5.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.01,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.01,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 5.67
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5.12
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.01,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.01,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5.12
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.86
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.43
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.01,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 5.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 5.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.5
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 4.56
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 5.26
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 6.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.43
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.75
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 5.81
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 5.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.01,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.01,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.01,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.01,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.75
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 5.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4.56
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5.12
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5.12
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 7.01
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 5.26
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 5.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.01,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.43
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 5.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.5
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1.91
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.01,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.01,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.43
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.86
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 5.81
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.96
            }
          ]
        }
      ]
    },
    {
      "description": "\"Foam Drsg Adhesive Silicone Tegaderm Heel 6\"\" X 6\"\" Border\"",
      "code_information": [
        {
          "code": "PX-CH3M90646",
          "type": "CDM"
        },
        {
          "code": "A6212",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 17.02,
          "discounted_cash": 11.06,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13.96
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 17.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 13.77
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12.42
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 12.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9.36
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 14.11
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 14.11
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 14.93
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9.36
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 17.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 12.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.93
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 17.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 11.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 13.77
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 17.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9.36
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 17.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 17.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.76
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 17.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 17.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 17.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 9.45
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 17.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 11.08
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.47
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 14.93
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 17.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12.42
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 17.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.93
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12.42
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.47
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.47
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 17.02,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.76
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9.36
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 17.02
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 17.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.47
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 17.02,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.47
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 17.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 13
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 17.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.47
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 9.45
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 4.65
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 11.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13.96
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 17.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.76
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 17.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 17.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 14.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12.42
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 9.45
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.47
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 17.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9.36
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 17.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 11.08
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 9.45
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 12.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.76
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9.36
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 17.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 11.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 11.08
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.47
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 14.98
            }
          ]
        }
      ]
    },
    {
      "description": "\"1 Pc Pre-Cut Deep Cvx 11-16\"\" Mio Sensura\"",
      "code_information": [
        {
          "code": "PX-CHCO16860",
          "type": "CDM"
        },
        {
          "code": "A4392",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 11.21,
          "discounted_cash": 7.29,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 9.83
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.19
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7.3
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8.18
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.53
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.53
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 7.29
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.19
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.17
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 9.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7.3
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8.18
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8.18
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.53
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 8.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.19
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.17
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7.3
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.53
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 9.29
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 8.41
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 9.86
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 9.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 9.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7.3
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.53
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 7.4
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 3.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 8.41
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.53
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 9.83
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 6.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 6.22
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.08
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.17
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 9.07
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 6.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.19
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.17
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.08
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.17
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.08
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 11.21
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 6.22
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.53
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.53
            }
          ]
        }
      ]
    },
    {
      "description": "HC Mstu Calcium Ionized",
      "code_information": [
        {
          "code": "PX-30101450",
          "type": "CDM"
        },
        {
          "code": "82330",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 69,
          "discounted_cash": 44.85,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 43.61
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 37.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 13.68,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.82,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.68,
              "estimated_amount": 13.68
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.96,
              "estimated_amount": 19.96
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 58.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 44.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 51.3,
              "estimated_amount": 51.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 51.3,
              "estimated_amount": 51.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 51.3,
              "estimated_amount": 51.3
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 58.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 44.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 51.3,
              "estimated_amount": 51.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 56.58
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 13.68,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.82,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 56.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 51.3,
              "estimated_amount": 51.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 51.3,
              "estimated_amount": 51.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 55.82
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 50.37
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 58.65
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 58.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 44.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 44.92
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 56.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 51.3,
              "estimated_amount": 51.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 44.92
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 44.92
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 50.37
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 13.68,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.68,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 38.3
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.96,
              "estimated_amount": 19.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 51.3,
              "estimated_amount": 51.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 51.3,
              "estimated_amount": 51.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 55.82
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 38.3
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 13.68,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.68,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 43.61
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 56.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 43.61
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 13.68,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.82,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 13.68,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 14.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 44.92
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.96,
              "estimated_amount": 19.96
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 58.65
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 45.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 44.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 51.3,
              "estimated_amount": 51.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 51.3,
              "estimated_amount": 51.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 60.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 43.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 43.61
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 37.95
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 13.68,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 14.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 43.61
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 56.58
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 37.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 44.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 44.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 52.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 51.3,
              "estimated_amount": 51.3
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 58.65
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 58.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 44.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 38.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 60.51
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 37.95
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.68,
              "estimated_amount": 13.68
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.68,
              "estimated_amount": 13.68
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 13.68,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 14.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 51.75
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 69,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 57.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 57.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 44.3
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 13.68,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.68,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 58.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 44.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 51.3,
              "estimated_amount": 51.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 69
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 18.84
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 37.95
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 57.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 37.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 52.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 44.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 52.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 51.3,
              "estimated_amount": 51.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 51.3,
              "estimated_amount": 51.3
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 58.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 51.3,
              "estimated_amount": 51.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 51.3,
              "estimated_amount": 51.3
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 51.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 51.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 43.61
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 37.95
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.68,
              "estimated_amount": 13.68
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.68,
              "estimated_amount": 13.68
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 60.72
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 58.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 43.61
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 56.58
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 69,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 44.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 52.72
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 50.37
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 50.37
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 38.3
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 58.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 52.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 44.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 52.72
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 44.92
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 50.37
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 50.37
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 58.65
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 44.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 13.68,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.82,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.68,
              "estimated_amount": 13.68
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 69,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 13.68,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.82,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 58.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 56.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 56.58
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.68,
              "estimated_amount": 13.68
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 13.68,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 14.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 58.65
            }
          ],
          "minimum": 13.68,
          "maximum": 51.3
        }
      ]
    },
    {
      "description": "Deodorizer Entrust Drop 8 Oz",
      "code_information": [
        {
          "code": "PX-CHFMP6600",
          "type": "CDM"
        },
        {
          "code": "A4394",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 4.96,
          "discounted_cash": 3.22,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.23
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 4.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.62
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.62
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.18
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.62
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 3.27
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.07
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.13
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.73
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.11
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.73
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.07
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4.01
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.18
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.62
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.07
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.13
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.07
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4.01
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.62
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.22
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 3.22
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.13
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.07
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.11
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.73
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.23
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.22
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.22
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.22
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.23
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.73
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.73
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 4.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.79
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.13
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.07
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.11
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.18
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.13
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.07
            }
          ]
        }
      ]
    },
    {
      "description": "Heel Protector One Strap Washable",
      "code_information": [
        {
          "code": "PX-CHBH55580701900",
          "type": "CDM"
        },
        {
          "code": "E0190",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 9.81,
          "discounted_cash": 6.38,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.81,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7.16
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 9.81
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.34
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 2.68
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 6.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.81,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 6.38
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 7.36
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.04
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 8.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.81,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.81,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.81,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7.16
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 7.36
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.81,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.81,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 5.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6.39
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 5.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.49
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7.16
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.34
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.81,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.81,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6.39
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7.16
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.2
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.34
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 7.36
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.34
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.34
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 8.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.81,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.81,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.81,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 7.94
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 5.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.81,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.81,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 5.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.81,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.81,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6.39
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6.39
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6.39
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 8.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.04
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 8.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.04
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 7.94
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.81,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 8.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.49
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.34
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 8.13
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.34
            }
          ]
        }
      ]
    },
    {
      "description": "Revision/Removal Cranial Neurostim Pulse Generator or Receiver",
      "code_information": [
        {
          "code": "PX-36100968",
          "type": "CDM"
        },
        {
          "code": "61888",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 30264,
          "discounted_cash": 19671.6,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 19126.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 19126.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 24816.48
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 24816.48
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 16645.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 25088.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 23121.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 30264,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 30264,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 30264,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 22698
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 19429.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 30264,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 30264,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 30264,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 24483.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 19701.86
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 22092.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 26541.53
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 16645.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 24816.48
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 24816.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 23121.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 23121.7
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 22092.72
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 19671.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 19429.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 19429.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 30264,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 30264,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 22092.72
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 30264,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 25724.4
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 25724.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 19126.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 24816.48
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 16645.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 19429.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 23121.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 19429.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 19429.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 30264,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 30264,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 19701.86
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 8262.07
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 25724.4
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 19974.24
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 30264,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 25724.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 19429.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 19429.49
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 19701.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 19429.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 30264,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 24483.58
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 22092.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 26541.53
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 22698
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 30264,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 19701.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 19429.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 23121.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 30264,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 30264,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 19126.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 24816.48
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 26632.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 24816.48
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 22092.72
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 25724.4
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 25724.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 23121.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 30264,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 30264,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 25088.86
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 25088.86
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 25724.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 30264,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 22092.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 19429.49
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 30264,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 19126.85
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 25724.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 19126.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 19126.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 24816.48
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 16645.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 16645.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 16645.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 30264,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 25724.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 19429.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 30264,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 25724.4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 25724.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 19126.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 16645.2
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 25724.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 19701.86
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 22698
            }
          ]
        }
      ]
    },
    {
      "description": "Blood Gas With O2 Sat",
      "code_information": [
        {
          "code": "PX-30101466",
          "type": "CDM"
        },
        {
          "code": "82805",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 111,
          "discounted_cash": 72.15,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 97.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 61.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 61.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 78.77,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 79.56,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 92.02
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 78.77,
              "estimated_amount": 78.77
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 78.77,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 79.56,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 78.77,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 82.71,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 78.77,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 82.71,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 71.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 84.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 295.39,
              "estimated_amount": 295.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 295.39,
              "estimated_amount": 295.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 295.39,
              "estimated_amount": 295.39
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 81.03
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 78.77,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 78.77,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 61.61
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 94.35
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 83.25
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 94.35
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 83.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 71.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 71.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 71.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 295.39,
              "estimated_amount": 295.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 295.39,
              "estimated_amount": 295.39
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 72.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 72.26
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 111
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 70.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 70.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 70.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 70.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 97.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 70.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 91.02
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 78.77,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 79.56,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 78.77,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 82.71,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 111,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 32.08,
              "estimated_amount": 32.08
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 111,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 70.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 70.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 91.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 91.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 91.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 91.02
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 61.05
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 92.02
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 111,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 94.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 71.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 71.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 84.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 84.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 71.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 295.39,
              "estimated_amount": 295.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 295.39,
              "estimated_amount": 295.39
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 72.26
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 78.77,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 78.77,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 111
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 71.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 295.39,
              "estimated_amount": 295.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 295.39,
              "estimated_amount": 295.39
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 81.03
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 94.35
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 72.15
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 83.25
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 94.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 91.02
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 92.02
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 94.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 70.15
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 78.77,
              "estimated_amount": 78.77
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 83.25
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 94.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 84.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 84.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 72.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 72.26
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 94.35
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 73.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 71.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 71.26
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 32.08,
              "estimated_amount": 32.08
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 94.35
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 94.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 70.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 91.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 91.02
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 61.05
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 78.77,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 82.71,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 97.68
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 78.77,
              "estimated_amount": 78.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 71.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 71.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 295.39,
              "estimated_amount": 295.39
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 81.03
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 94.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 84.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 295.39,
              "estimated_amount": 295.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 295.39,
              "estimated_amount": 295.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 295.39,
              "estimated_amount": 295.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 295.39,
              "estimated_amount": 295.39
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 72.26
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 81.03
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 61.61
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 94.35
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 94.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 70.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 78.77,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 79.56,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 78.77,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 79.56,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 78.77,
              "estimated_amount": 78.77
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 94.35
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 94.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 70.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 91.02
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 78.77,
              "estimated_amount": 78.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 84.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 295.39,
              "estimated_amount": 295.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 295.39,
              "estimated_amount": 295.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 295.39,
              "estimated_amount": 295.39
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 72.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 72.26
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 61.61
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 78.77,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 78.77,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 73.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 84.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 295.39,
              "estimated_amount": 295.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 295.39,
              "estimated_amount": 295.39
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 81.03
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 61.61
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 78.77,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 78.77,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 30.3
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 94.35
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 94.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 97.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 91.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 91.02
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 61.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 78.77,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 79.56,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 78.77,
              "estimated_amount": 78.77
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 78.77,
              "estimated_amount": 78.77
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 111,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 94.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 91.02
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 61.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 61.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 78.77,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 79.56,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 78.77,
              "estimated_amount": 78.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 71.26
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 78.77,
              "estimated_amount": 78.77
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 111,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 295.39,
              "estimated_amount": 295.39
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 89.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 89.8
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 81.03
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 78.77,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 78.77,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 32.08,
              "estimated_amount": 32.08
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 94.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 71.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 71.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 84.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 71.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 71.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 71.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 71.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 71.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 295.39,
              "estimated_amount": 295.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 295.39,
              "estimated_amount": 295.39
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 89.8
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 81.03
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 61.61
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 94.35
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 72.15
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 78.77,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 82.71,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 78.77,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 79.56,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 91.02
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 61.05
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 78.77,
              "estimated_amount": 78.77
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 78.77,
              "estimated_amount": 78.77
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 78.77,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 82.71,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 78.77,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 82.71,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 32.08,
              "estimated_amount": 32.08
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 111,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 71.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 295.39,
              "estimated_amount": 295.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 295.39,
              "estimated_amount": 295.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 295.39,
              "estimated_amount": 295.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 295.39,
              "estimated_amount": 295.39
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 72.26
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 61.61
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 94.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 84.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 71.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 84.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 295.39,
              "estimated_amount": 295.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 295.39,
              "estimated_amount": 295.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 295.39,
              "estimated_amount": 295.39
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 72.26
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 81.03
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 81.03
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 61.61
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 94.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 97.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 70.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 91.02
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 92.02
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 78.77,
              "estimated_amount": 78.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 70.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 91.02
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 61.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 61.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 78.77,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 79.56,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 92.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 84.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 71.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 71.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 295.39,
              "estimated_amount": 295.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 295.39,
              "estimated_amount": 295.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 295.39,
              "estimated_amount": 295.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 295.39,
              "estimated_amount": 295.39
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 81.03
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 81.03
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 61.61
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 78.77,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 78.77,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 94.35
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 94.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 295.39,
              "estimated_amount": 295.39
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 94.35
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 32.08,
              "estimated_amount": 32.08
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 83.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 70.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 70.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 91.02
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 61.05
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 78.77,
              "estimated_amount": 78.77
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 92.02
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 78.77,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 82.71,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 94.35
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 94.35
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 83.25
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 97.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 89.8
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 81.03
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 30.3
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 94.35
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 32.08,
              "estimated_amount": 32.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 70.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 61.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 61.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 61.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 78.77,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 79.56,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 78.77,
              "estimated_amount": 78.77
            }
          ],
          "minimum": 32.08,
          "maximum": 295.39
        }
      ]
    },
    {
      "description": "\"1 Pc Ctf Closed End W Filter Sensura Mio 1-5-8\"\"-2-1-4\"\"Stoma\"",
      "code_information": [
        {
          "code": "PX-CHCO10835",
          "type": "CDM"
        },
        {
          "code": "A4416",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 3.83,
          "discounted_cash": 2.49,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.42
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 3.83
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.49
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.8
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.14
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.8
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.26
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.26
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 2.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.11
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.42
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.8
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3.1
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.26
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.11
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.49
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.14
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.11
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.14
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 3.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.49
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3.1
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.49
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.14
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3.36
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.11
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.93
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.14
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.14
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.46
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.26
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 2.49
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2.87
            }
          ]
        }
      ]
    },
    {
      "description": "Catheter 100% Silicone 2-Way 22 Fr 30 Cc",
      "code_information": [
        {
          "code": "PX-CHKN7630229",
          "type": "CDM"
        },
        {
          "code": "A4344",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 13.17,
          "discounted_cash": 8.56,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8.32
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 13.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 13.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 10.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 13.17
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 7.31
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 9.61
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.19
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.19
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 13.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 10.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 10.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 13.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 10.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 8.57
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 8.57
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 13.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.19
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 13.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 10.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.24
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 13.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 10.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.24
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 10.92
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 13.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 13.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 11.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.46
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 9.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 10.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 8.57
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 13.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 7.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 11.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 10.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.24
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 13.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 11.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8.32
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 13.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.19
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 10.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 10.65
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 9.61
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 9.61
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 13.17,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 10.06
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 9.61
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 13.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 10.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 10.8
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 13.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.19
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 9.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 9.61
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 13.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 9.88
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.19
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.46
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 7.31
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.19
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 13.17,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 13.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 10.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.24
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 13.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 13.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 7.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 9.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 10.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.24
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 13.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 10.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 3.6
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 8.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 13.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.24
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 10.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 8.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 10.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.19
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 13.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 8.57
            }
          ]
        }
      ]
    },
    {
      "description": "HC Pt Biofeedback Training Perineal Anorectal or Urethral Sphincter Ea Addl 15 Min",
      "code_information": [
        {
          "code": "PX-44000049",
          "type": "CDM"
        },
        {
          "code": "90913",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 170,
          "discounted_cash": 110.5,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 107.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 93.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 170,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 170,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 110.67
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 94.35
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 144.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 137.53
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 94.35
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 94.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 139.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 109.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 109.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 170,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 170,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 170,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 127.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 129.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 170,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 110.67
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 124.1
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 144.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 149.09
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 139.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 109.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 129.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 170,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 139.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 139.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 93.5
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 149.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 170,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 170,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 170,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 94.35
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 144.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 170,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 124.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 107.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 139.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 93.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 107.44
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 140.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 109.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 109.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 129.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 109.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 129.88
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 124.1
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 144.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 107.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 107.44
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 140.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 107.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 139.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 109.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 170,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 144.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 110.67
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 110.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 129.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 109.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 109.14
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 112.2
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 144.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 107.44
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 144.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 93.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 109.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 137.53
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 124.1
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 124.1
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 124.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 109.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 129.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 170,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 46.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 139.4
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 140.93
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 127.5
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 144.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 93.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 93.5
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 144.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 109.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 170,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 170,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 110.67
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 144.5
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 110.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 170
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 144.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 144.5
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 127.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 107.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 149.09
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 139.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 93.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 170,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 170,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Perm Fallopian Tube Occ W Implnt Transcervical App W Trnsvg US",
      "code_information": [
        {
          "code": "PX-36100984",
          "type": "CDM"
        },
        {
          "code": "0567T",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 17659,
          "discounted_cash": 11478.35,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 11160.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 11160.49
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 14480.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9712.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17659,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 15010.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 11337.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 11496.01
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12891.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 15486.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 14480.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9712.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17659,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17659,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 11337.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 11337.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 13491.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17659,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 15010.15
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 15010.15
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 11478.35
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 13244.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 11160.49
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 15539.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 11160.49
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 15010.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 11337.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 11337.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17659,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17659,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17659,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17659,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 4820.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 11337.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 11337.08
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12891.07
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 15010.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 15486.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 14480.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9712.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9712.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 11160.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 11337.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17659,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17659,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 11496.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 11496.01
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 15010.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 11496.01
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17659,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 14639.31
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 14639.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 11160.49
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 14480.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 14480.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9712.45
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 15010.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 13491.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 11337.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 14286.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 11337.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17659,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12891.07
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12891.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 14480.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9712.45
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 13244.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 11160.49
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 14480.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 14480.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17659,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17659,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12891.07
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17659,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 13491.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 11337.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 11160.49
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 14639.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17659,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17659,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 15010.15
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 13244.25
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 15010.15
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 15010.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 13491.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17659,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17659,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17659,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12891.07
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 15010.15
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 11654.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 13491.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17659,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 15010.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9712.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 11337.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 13491.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17659,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 11496.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 14286.13
            }
          ]
        }
      ]
    },
    {
      "description": "HC Veeg Lt Intermittent 12-26 Hrs",
      "code_information": [
        {
          "code": "PX-74000034",
          "type": "CDM"
        },
        {
          "code": "95715",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 8392,
          "discounted_cash": 5454.8,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5303.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5303.74
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 480.81,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 7384.96
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 8392,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5387.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8392,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 467.8,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4657.56
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 2291.02
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 6294
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 8392,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6411.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8392,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8392,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8392,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7133.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6881.44
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 6956.97
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 480.81,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 457.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 1837.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5387.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6411.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5387.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5387.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8392,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8392,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8392,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 6789.13
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 8392
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7133.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5387.66
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6126.16
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 467.8,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4657.56
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7133.2
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 6294
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5303.74
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 8392,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5303.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5303.74
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 457.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 6956.97
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 467.8,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5387.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8392,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5387.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8392,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 467.8,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5303.74
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6881.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6881.44
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 472.48,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 467.8,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 8392,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 7359.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6881.44
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 472.48,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5463.19
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 5538.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5387.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8392,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 472.48,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 480.81,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 480.81,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5303.74
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4615.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 472.48,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7133.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6411.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8392,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4657.56
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7133.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6411.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6411.49
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7133.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6881.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4615.6
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 457.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 457.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7133.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6881.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6881.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4615.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4615.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5387.66
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6126.16
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6126.16
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7133.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5387.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5387.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5463.19
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4657.56
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7133.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4615.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4615.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8392,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5463.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 6789.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8392,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5463.19
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7133.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4615.6
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 6956.97
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 472.48,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7133.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6881.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8392,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5463.19
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6126.16
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7133.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5387.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6411.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8392,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7133.2
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 5454.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5303.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 7359.78
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 6294
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7133.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8392,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8392,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6126.16
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6126.16
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 8392,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 457.91,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "Chemodenervation One Extremity 5 or More Muscles",
      "code_information": [
        {
          "code": "PX-36101011",
          "type": "CDM"
        },
        {
          "code": "64644",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 5744,
          "discounted_cash": 3733.6,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3630.21
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3159.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4388.42
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5744,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1568.11
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4882.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4388.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4388.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3687.65
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5744,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 5037.49
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4710.08
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3159.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4710.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4710.08
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4761.78
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4882.4
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4882.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3687.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3687.65
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4193.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3687.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5744,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4193.12
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4308
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 5037.49
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3159.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3630.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3687.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3739.34
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4193.12
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4882.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3687.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4388.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5744,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5744,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5744,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4882.4
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 5054.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3630.21
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4710.08
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3159.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4761.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4388.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5744,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3687.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3687.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5744,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5744,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5744,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4308
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4193.12
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4193.12
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4882.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3687.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3687.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3687.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5744,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3739.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4646.9
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4882.4
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4308
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4388.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5744,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4646.9
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4193.12
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5744,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3687.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5744,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5744,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3739.34
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4882.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3630.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3630.21
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4710.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3630.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5744,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5744,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5744,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5744,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5744,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4882.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5744,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3739.34
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 3733.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4710.08
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4761.78
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4882.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3630.21
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4710.08
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3159.2
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4882.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3739.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5744,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4882.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3630.21
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4710.08
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 3791.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3159.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3159.2
            }
          ]
        }
      ]
    },
    {
      "description": "\"Foam Drsg Adhesive Silicone Cardinal 6\"\" X 6\"\" Border\"",
      "code_information": [
        {
          "code": "PX-CH55BFM66",
          "type": "CDM"
        },
        {
          "code": "A6213",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 5.84,
          "discounted_cash": 3.8,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.69
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.79
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.84
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 5.14
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.84,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.84,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.84,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.84,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.84,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.96
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5.84,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.79
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.84,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.69
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.84,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.84,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.84,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.84,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.26
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.84,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.84,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.84,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.84,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.96
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 3.85
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.84,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 5.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.79
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.84,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.84,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.84,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.84,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.26
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.26
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.24
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 5.12
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.84,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.69
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.84,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.84,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.84,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.75
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.26
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.24
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.75
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.21
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.84,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.84,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.84,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.21
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.21
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.84
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.84,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 5.84
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.84,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.84,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.8
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.69
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.79
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.69
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.79
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.21
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.84,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.46
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.26
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.24
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.84,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.96
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4.72
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.79
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.21
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.84,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.84,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.84,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.84,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.69
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.21
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.21
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.84,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.46
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5.84,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.8
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.26
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.84,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4.72
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.24
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1.59
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.84,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "\"Gauze Bandage Elastomull 1\"\" X 4-1-10 Yds\"",
      "code_information": [
        {
          "code": "PX-CHBF02088000",
          "type": "CDM"
        },
        {
          "code": "A6442",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.38,
          "discounted_cash": 0.25,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.38,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.38,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.38,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.38,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.38,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.38,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.38,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.38,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 0.38
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.38,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.38,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.38,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.38,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.38,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.38,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.38,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.38,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.38,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.21
            }
          ]
        }
      ]
    },
    {
      "description": "Barrier Wipe Skin Prep Pre-OP 7.5x7.5 Chlorhexidine Cloth",
      "code_information": [
        {
          "code": "PX-CHTO9705",
          "type": "CDM"
        },
        {
          "code": "A4247",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2.91,
          "discounted_cash": 1.89,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.39
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.12
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.12
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.62
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.39
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.22
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2.55
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.39
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2.41
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.84
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.22
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.89
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2.91
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.39
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 2.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.39
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.47
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.89
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.12
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.39
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.22
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2.91,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.89
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.47
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2.91,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.89
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2.55
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2.41
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.12
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.62
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.47
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.47
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.47
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2.41
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.47
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.47
            }
          ]
        }
      ]
    },
    {
      "description": "Foam Drsg Non-Adhesive Xtrasorb 8 in X 8 In",
      "code_information": [
        {
          "code": "PX-CHDUM86188",
          "type": "CDM"
        },
        {
          "code": "A6250",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 24.36,
          "discounted_cash": 15.83,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 15.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 13.52
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 24.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 24.36,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 15.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 15.86
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 17.78
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 20.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 15.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 19.98
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 19.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 18.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 19.71
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 20.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 15.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 15.86
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 20.71
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 20.71
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 20.71
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 24.36,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 20.71
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 24.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 20.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 18.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 15.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 24.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 18.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 15.86
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 17.78
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 17.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 19.98
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 19.98
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 19.98
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 19.98
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13.4
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 21.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 15.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 15.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 15.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 13.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 15.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 15.86
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 17.78
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 17.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 15.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13.4
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 20.71
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 18.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 15.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 24.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 20.19
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 17.78
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 20.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 15.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 6.65
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 24.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 15.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 15.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 19.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 21.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 21.36
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 24.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 15.64
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 20.71
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 19.71
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 13.52
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 20.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 18.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 18.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 15.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 24.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 15.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 19.98
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13.4
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 24.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 15.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 18.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 24.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 24.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 18.27
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 18.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 15.4
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 20.19
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 20.71
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 13.52
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 16.08
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 20.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 15.64
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 15.86
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 24.36,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Merkel Virus Vp1 Capsid Antibody So",
      "code_information": [
        {
          "code": "PX-31000154",
          "type": "CDM"
        },
        {
          "code": "0059U",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1488,
          "discounted_cash": 967.2,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 669.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 669.6
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 744
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 322.96,
              "estimated_amount": 322.96
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 322.96,
              "estimated_amount": 322.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1211.1,
              "estimated_amount": 1211.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1211.1,
              "estimated_amount": 1211.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1211.1,
              "estimated_amount": 1211.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 930
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1211.1,
              "estimated_amount": 1211.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 669.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 818.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 818.4
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1264.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 930
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 930
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1211.1,
              "estimated_amount": 1211.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1211.1,
              "estimated_amount": 1211.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1488,
              "additional_payer_notes": "REFERENCE LAB"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1211.1,
              "estimated_amount": 1211.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 744
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1086.24
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.85,
              "estimated_amount": 25.85
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1264.8
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1264.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 669.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 322.96,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 326.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 744
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 322.96,
              "estimated_amount": 322.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 930
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1211.1,
              "estimated_amount": 1211.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1211.1,
              "estimated_amount": 1211.1
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 322.96,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 322.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.85,
              "estimated_amount": 25.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1264.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1211.1,
              "estimated_amount": 1211.1
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1086.24
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1086.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 818.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 818.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 818.4
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 322.96,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 339.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 669.6
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 322.96,
              "estimated_amount": 322.96
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 322.96,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 339.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 930
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1488,
              "additional_payer_notes": "REFERENCE LAB"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1488,
              "additional_payer_notes": "REFERENCE LAB"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1211.1,
              "estimated_amount": 1211.1
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1086.24
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1264.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1211.1,
              "estimated_amount": 1211.1
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 322.96,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 322.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 669.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 669.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 818.4
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 322.96,
              "estimated_amount": 322.96
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1264.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 930
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1211.1,
              "estimated_amount": 1211.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 744
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 930
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.85,
              "estimated_amount": 25.85
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 25,
              "estimated_amount": 372
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1116
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 322.96,
              "estimated_amount": 322.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1116
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 669.6
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 744
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 669.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1488,
              "additional_payer_notes": "REFERENCE LAB"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 322.96,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 339.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 322.96,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 339.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1264.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 744
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 322.96,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 322.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 322.96,
              "estimated_amount": 322.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1211.1,
              "estimated_amount": 1211.1
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1086.24
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 322.96,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 326.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 322.96,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 326.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 669.6
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 322.96,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 326.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1086.24
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1264.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 930
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1488,
              "additional_payer_notes": "REFERENCE LAB"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1488,
              "additional_payer_notes": "REFERENCE LAB"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 930
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.85,
              "estimated_amount": 25.85
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 322.96,
              "estimated_amount": 322.96
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 322.96,
              "estimated_amount": 322.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 930
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1211.1,
              "estimated_amount": 1211.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1211.1,
              "estimated_amount": 1211.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 744
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 930
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 930
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1211.1,
              "estimated_amount": 1211.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 744
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 744
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 967.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 818.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 322.96,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 326.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 325.87
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1264.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 744
            }
          ],
          "minimum": 25.85,
          "maximum": 1211.1
        }
      ]
    },
    {
      "description": "Absorption Dressing Kerramax 6 in X 10 in Bordered",
      "code_information": [
        {
          "code": "PX-CH87PRD5001177",
          "type": "CDM"
        },
        {
          "code": "A6250",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 16.02,
          "discounted_cash": 10.41,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13.14
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.62
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12.24
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.81
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 14.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10.43
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11.69
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 16.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13.14
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.81
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 13.28
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.62
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 12.96
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11.69
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 8.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 14.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.12
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.12
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.81
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10.43
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10.43
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.12
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.81
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12.24
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11.69
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 12.96
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10.43
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 8.89
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.62
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.81
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13.14
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.81
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 13.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 16.02,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.28
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11.69
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.62
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 13.28
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 12.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13.14
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12.24
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10.43
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 8.89
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11.69
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 4.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 16.02,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 8.89
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.62
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 12.02
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 10.57
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 14.05
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 12.02
            }
          ]
        }
      ]
    },
    {
      "description": "Ide G190186 Ev Icd Safesheath II",
      "code_information": [
        {
          "code": "PX-62400230",
          "type": "CDM"
        },
        {
          "code": "C1894",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 95,
          "discounted_cash": 61.75,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 60.04
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 69.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 95,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 61.85
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 80.75
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 25.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 60.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 77.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 77.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 52.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 52.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 52.25
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 72.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 60.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 72.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 61.85
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 69.35
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 95
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 52.73
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 80.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 72.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 60.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 60.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 95,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 95,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 95,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 52.73
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 80.75
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 80.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 60.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 77.9
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 95,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 72.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 95,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 95,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 60.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 60.99
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 61.85
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 69.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 60.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 77.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 60.04
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 60.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 95,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 95,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 95,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 60.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 72.58
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 80.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 60.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 52.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 78.76
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 95,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 69.35
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 61.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 60.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 72.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 95,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 60.04
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 80.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 60.04
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 78.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 60.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 60.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 95,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 80.75
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 69.35
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 95,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 71.25
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 71.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 76.86
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 80.75
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 62.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 83.32
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 95,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 52.25
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 95,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 80.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 95,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 61.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 95,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 80.75
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 95,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 80.75
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 80.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 77.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 77.9
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 95,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 80.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 77.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 52.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 95,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 95,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 52.73
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 80.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 61.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 76.86
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 69.35
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 52.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 83.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 77.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 52.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 71.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 60.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 60.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 95,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 78.76
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 83.6
            }
          ]
        }
      ]
    },
    {
      "description": "Coveralls Fluid Resistant 4x-Large Bunny Cardinal",
      "code_information": [
        {
          "code": "PX-CH5522004CV",
          "type": "CDM"
        },
        {
          "code": "A9270",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1.52,
          "discounted_cash": 0.99,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1.33
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.29
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1.52,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.25
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.29
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.99
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.29
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.29
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.99
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.29
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1.52,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.29
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.14
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1.52
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.99
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.25
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.99
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.29
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.26
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.25
            }
          ]
        }
      ]
    },
    {
      "description": "Basin Wash 6 Qt Rose",
      "code_information": [
        {
          "code": "PX-CHACH36010",
          "type": "CDM"
        },
        {
          "code": "A9270",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1.17,
          "discounted_cash": 0.76,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1.03
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1.17,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.99
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.99
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.99
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.99
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.99
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.99
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1.17,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.65
            }
          ]
        }
      ]
    },
    {
      "description": "HC Culture Fungus Not Blood So",
      "code_information": [
        {
          "code": "PX-30600332",
          "type": "CDM"
        },
        {
          "code": "87102",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 158,
          "discounted_cash": 102.7,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 99.86
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 86.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 86.9
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.27,
              "estimated_amount": 12.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 31.54,
              "estimated_amount": 31.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 127.82
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 87.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 120.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 31.54,
              "estimated_amount": 31.54
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 115.34
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 134.3
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.27,
              "estimated_amount": 12.27
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 134.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 99.86
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 129.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 129.56
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 8.41,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 8.49,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 129.56
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 139.04
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 134.3
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 134.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 101.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 101.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 101.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 31.54,
              "estimated_amount": 31.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 102.86
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 87.69
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 134.3
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 134.3
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 118.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 130.98
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.41,
              "estimated_amount": 8.41
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 8.41,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 8.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 129.56
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.41,
              "estimated_amount": 8.41
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 158,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 101.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 120.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 31.54,
              "estimated_amount": 31.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 31.54,
              "estimated_amount": 31.54
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 115.34
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 87.69
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.27,
              "estimated_amount": 12.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 101.44
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 115.34
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 102.7
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 104.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 99.86
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 8.41,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 8.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 99.86
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 129.56
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.41,
              "estimated_amount": 8.41
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 8.41,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 8.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 120.71
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 134.3
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 43.13
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 118.5
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 134.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 31.54,
              "estimated_amount": 31.54
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 134.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 99.86
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 8.41,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 8.49,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 129.56
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 86.9
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 8.41,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 8.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 101.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 120.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 101.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 31.54,
              "estimated_amount": 31.54
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 87.69
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 8.41,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 8.41,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 102.86
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 8.41,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 8.41,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 129.56
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.41,
              "estimated_amount": 8.41
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 130.98
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 130.98
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 158,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 118.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 8.41,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 8.49,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.41,
              "estimated_amount": 8.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 120.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 101.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 31.54,
              "estimated_amount": 31.54
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 134.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 31.54,
              "estimated_amount": 31.54
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 115.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 101.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 120.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 101.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 101.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 31.54,
              "estimated_amount": 31.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 31.54,
              "estimated_amount": 31.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 31.54,
              "estimated_amount": 31.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 102.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 99.86
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 86.9
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.41,
              "estimated_amount": 8.41
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.41,
              "estimated_amount": 8.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 99.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 99.86
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 86.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 8.41,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 8.49,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 8.41,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 8.49,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 101.44
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 158
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 127.82
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 8.41,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 8.41,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 134.3
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 134.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 129.56
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 86.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 86.9
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 158,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 138.57
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 138.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 31.54,
              "estimated_amount": 31.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 31.54,
              "estimated_amount": 31.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 31.54,
              "estimated_amount": 31.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 102.86
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 115.34
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 115.34
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 134.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 31.54,
              "estimated_amount": 31.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 31.54,
              "estimated_amount": 31.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 102.86
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 134.3
            }
          ],
          "minimum": 8.41,
          "maximum": 31.54
        }
      ]
    },
    {
      "description": "Catheter Silicone Elastomer 26 Fr 30 Cc",
      "code_information": [
        {
          "code": "PX-CHBA123626A",
          "type": "CDM"
        },
        {
          "code": "A4338",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1.28,
          "discounted_cash": 0.83,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.7
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.71
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.71
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1.28
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1.04
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1.12
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.7
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.06
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.71
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.7
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1.04
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.7
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.06
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.81
            }
          ]
        }
      ]
    },
    {
      "description": "Blood Pressure Monitor Wrist",
      "code_information": [
        {
          "code": "PX-CHMV404",
          "type": "CDM"
        },
        {
          "code": "A4670",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 21.28,
          "discounted_cash": 13.83,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 13.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 13.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 13.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 16.26
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 11.81
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 18.09
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 13.83
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 14.04
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 18.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 13.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 13.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.7
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 17.64
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 17.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 13.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 11.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 16.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 16.26
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 15.53
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 15.53
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 17.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 13.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 17.45
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 18.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 16.26
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 21.28
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 5.81
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 18.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 18.09
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 17.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 17.45
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 18.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 17.22
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 15.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 13.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 16.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 17.22
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 13.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 13.85
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 15.53
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 18.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 13.85
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 15.53
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 15.53
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 18.09
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 15.96
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 18.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 13.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 13.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 17.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 17.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 15.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 11.81
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 17.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 17.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.7
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 17.64
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 15.96
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 18.73
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 18.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 18.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 16.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 11.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 18.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 18.66
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.7
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 18.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            }
          ]
        }
      ]
    },
    {
      "description": "\"Wrap Self Adherent Bandage 4\"\" X 10 Yds 2 Piece\"",
      "code_information": [
        {
          "code": "PX-CHCV650944",
          "type": "CDM"
        },
        {
          "code": "A4649",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 36.55,
          "discounted_cash": 23.76,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 23.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 32.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 29.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.47
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 23.79
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 26.68
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 20.29
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 27.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 36.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 31.07
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 31.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 23.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 23.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 20.1
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 36.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 36.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 32.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 27.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 36.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 36.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 26.68
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 20.29
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 31.07
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 24.12
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 36.55,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 29.97
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 30.3
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 27.41
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 20.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 36.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 29.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 36.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 36.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 36.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 36.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 23.76
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 31.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 29.97
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 29.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 23.1
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 36.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 31.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 27.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 36.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 29.57
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 36.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 20.29
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 36.55,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 27.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.47
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 23.79
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 20.1
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 36.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 29.97
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 30.3
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 36.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 27.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 36.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 36.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 23.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 20.1
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 31.07
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 36.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 36.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.47
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 31.07
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 26.68
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 26.68
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 36.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.47
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 23.79
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 31.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 23.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 32.05
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 36.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 29.97
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 20.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 36.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 30.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 27.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 36.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 36.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 26.68
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 9.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 27.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 36.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 36.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 20.29
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 31.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 36.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 23.79
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 31.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 27.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 36.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 31.07
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 31.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 23.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 23.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 29.97
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 20.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 36.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 36.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 36.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 36.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 36.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 23.79
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 26.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 29.97
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 20.1
            }
          ]
        }
      ]
    },
    {
      "description": "\"Hydrogel Drsg Kerralite Cool 3\"\" X 3\"\" Adh Border\"",
      "code_information": [
        {
          "code": "PX-CH87CWL1007",
          "type": "CDM"
        },
        {
          "code": "A6237",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 3.17,
          "discounted_cash": 2.06,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.06
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.31
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.74
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.69
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2.38
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2.56
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.31
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2.63
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.74
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.74
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.42
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.06
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.69
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.06
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.69
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 2.09
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.74
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 2.79
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2.38
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 2.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.69
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.31
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.31
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 3.17
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2.38
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2.78
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.31
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.6
            }
          ]
        }
      ]
    },
    {
      "description": "2 Pc Ctf Ext Wear Convex 10mm to 45mm Stoma",
      "code_information": [
        {
          "code": "PX-CHCO18510",
          "type": "CDM"
        },
        {
          "code": "A4373",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 8.6,
          "discounted_cash": 5.59,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.52
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.28
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.28
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.28
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 8.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.57
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 8.6,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 8.6,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 7.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.05
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.31
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.31
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 8.6,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 8.6,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 6.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.6
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 8.6,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4.77
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 2.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.31
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 6.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.73
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 8.6,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.73
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 7.13
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 8.6,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 6.96
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.05
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 8.6,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.73
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.57
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.28
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 8.6,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.31
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.31
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 5.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 7.54
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.73
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 8.6,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 8.6,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 6.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 6.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.6
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 8.6,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.31
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 8.6,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 8.6,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 8.6,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 8.6,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 8.6,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4.77
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.44
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 7.13
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 8.6,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 7.57
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.73
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.73
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 8.6,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 8.6,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.31
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 8.6,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.57
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.6
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.28
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 8.6,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4.77
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 8.6,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 7.13
            }
          ]
        }
      ]
    },
    {
      "description": "Elasto-Gel Occlusive Dressing 4 X 4",
      "code_information": [
        {
          "code": "PX-CHSUDR8000",
          "type": "CDM"
        },
        {
          "code": "A6242",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 4.44,
          "discounted_cash": 2.89,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.81
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.64
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.44,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.44,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.89
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3.89
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 3.91
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.44,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.24
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.44,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.44,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.44,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.44,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.89
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.33
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 2.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.44,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 2.93
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.64
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.81
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3.59
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.24
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.39
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3.59
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 4.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.44,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.24
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.46
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.64
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.85
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.44,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.81
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.44,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.44,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.89
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.46
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.44,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.24
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.81
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.44
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.77
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.64
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.44,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.89
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.24
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.46
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.77
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.33
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.44,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.44,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.89
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.64
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.44
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3.68
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.44,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.64
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.44
            }
          ]
        }
      ]
    },
    {
      "description": "Catheter 100% Silicone 18 Fr 5 Cc",
      "code_information": [
        {
          "code": "PX-CHBA165818",
          "type": "CDM"
        },
        {
          "code": "A4344",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 12.91,
          "discounted_cash": 8.39,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8.16
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 10.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 9.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.97
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 9.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 12.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 12.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 10.59
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 10.59
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 12.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 12.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 9.42
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 9.42
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 7.17
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 9.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 8.4
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.97
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 12.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 12.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 10.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 8.4
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.29
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 7.17
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 10.59
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 12.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 12.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 10.59
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 10.59
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.1
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 12.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 8.4
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 9.42
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 12.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 12.91,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 9.42
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 9.42
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 7.17
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.1
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 12.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 12.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 10.59
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.1
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 12.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 9.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 3.52
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 12.91,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 12.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 8.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.29
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8.16
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 12.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 12.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 10.59
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 12.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 9.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.1
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 9.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.29
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 9.42
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 12.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 12.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 9.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 8.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 12.91
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8.16
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 10.7
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.97
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 9.68
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 12.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 10.7
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 12.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 9.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 7.17
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 10.44
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 11.32
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 11.36
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 10.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 8.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 11.32
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 5,
          "discounted_cash": 3.25,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.16
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.15
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.26
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.65
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.78
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4.05
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.75
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.26
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.16
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1.37
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.82
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.75
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.21
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 4.4
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.65
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 3.3
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.1
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.21
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.26
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.78
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.21
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.16
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.15
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.1
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4.39
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.26
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.65
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.78
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "2 Pc Pre Cut Std Wear 1 1-2 in New Image",
      "code_information": [
        {
          "code": "PX-CHHO14308",
          "type": "CDM"
        },
        {
          "code": "A4414",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 7.83,
          "discounted_cash": 5.09,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.31
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 6.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.1
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4.35
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 5.17
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6.42
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 7.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 6.49
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 6.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 6.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 6.33
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5.72
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 5.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.1
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 5.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 6.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6.42
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 7.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.66
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 7.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.1
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5.72
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5.72
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4.35
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.66
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.31
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.31
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.31
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 7.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 7.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 7.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 7.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 5.87
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 7.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.66
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 7.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 7.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 2.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 5.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 6.33
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5.72
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4.35
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 7.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 7.83,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6.42
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 7.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 7.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 5.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 7.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 5.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6.42
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.66
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 7.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 6.49
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 7.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 7.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 5.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5.72
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5.72
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 7.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 7.83
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.66
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.66
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 5.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6.42
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 7.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.03
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 7.83,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.31
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 7.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 5.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 7.83,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "\"Belt Ostomy Med Adustable 26\"\"-43\"\" Cardinal\"",
      "code_information": [
        {
          "code": "PX-CHZR8300",
          "type": "CDM"
        },
        {
          "code": "A4367",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1.51,
          "discounted_cash": 0.98,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.28
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.13
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.24
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.28
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.24
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.28
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.28
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.24
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1.32
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.25
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.28
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.28
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.84
            }
          ]
        }
      ]
    },
    {
      "description": "Neuroplasty Carpal Tunnel Median Nerve",
      "code_information": [
        {
          "code": "PX-36101018",
          "type": "CDM"
        },
        {
          "code": "64721",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 6438,
          "discounted_cash": 4184.7,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4068.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6438,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6438,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 5208.34
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4699.74
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5472.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4133.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4133.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6438,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6438,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4068.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4068.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3540.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4133.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4133.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6438,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4133.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6438,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6438,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4191.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 5208.34
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4699.74
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5472.3
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4828.5
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 4249.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5279.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5279.16
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 5337.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4918.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6438,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4191.14
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5472.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4133.2
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5472.3
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5472.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 5646.13
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5279.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 5646.13
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3540.9
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4828.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4918.63
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4191.14
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6438,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 4184.7
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6438,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5279.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3540.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5279.16
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 5337.1
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 5337.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4918.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4133.2
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4699.74
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4699.74
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6438,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4828.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4918.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4918.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6438,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4699.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4068.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4068.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5279.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5279.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4133.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6438,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6438,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4191.14
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4699.74
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5472.3
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1757.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4918.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4133.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4068.82
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5472.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5279.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3540.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3540.9
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5472.3
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5472.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4133.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4133.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6438,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6438,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6438,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5472.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6438,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6438,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3540.9
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 5665.44
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5472.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3540.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4133.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6438,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6438,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4191.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6438,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5472.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4068.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4068.82
            }
          ]
        }
      ]
    },
    {
      "description": "Nutritional Ensure Plus Butter Pecan 8oz",
      "code_information": [
        {
          "code": "PX-CHROS51894",
          "type": "CDM"
        },
        {
          "code": "B4152",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2.19,
          "discounted_cash": 1.42,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1.92
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.8
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.8
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.43
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.41
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.86
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.8
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.41
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.43
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.2
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.43
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.86
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.86
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.86
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1.77
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.43
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.86
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.86
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.43
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.86
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            }
          ]
        }
      ]
    },
    {
      "description": "Catheter 3-Way Lubricious 24 Fr 30 Cc",
      "code_information": [
        {
          "code": "PX-CHBA0167L24",
          "type": "CDM"
        },
        {
          "code": "A4346",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 36.7,
          "discounted_cash": 23.85,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 23.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 30.09
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 20.19
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 31.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 36.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 26.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 36.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 36.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 30.09
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 31.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 23.19
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 20.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 28.04
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 26.79
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 31.2
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 31.2
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 31.2
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 24.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 36.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 23.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 32.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 23.19
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 20.19
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 20.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 23.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 30.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 28.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 36.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 23.89
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 26.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 36.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 36.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 26.79
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 27.53
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 23.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 23.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 30.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 36.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 29.69
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 31.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 36.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 23.19
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 27.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 32.19
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 20.19
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 30.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 28.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 36.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 36.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 23.89
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 26.79
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 20.37
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 31.2
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 31.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 29.69
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 27.53
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 31.2
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 32.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 30.09
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 20.19
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 30.42
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 20.37
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 31.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 28.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 36.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 23.89
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 26.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 23.19
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 30.42
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 31.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 30.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 36.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 36.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 36.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 23.89
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 10.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 28.04
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 36.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 30.09
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 20.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 28.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 36.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 20.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 36.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 20.37
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 23.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 30.09
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 31.2
            }
          ]
        }
      ]
    },
    {
      "description": "Gloves Latex Free Powder-Free Sterile Large Can't Ship to Ca",
      "code_information": [
        {
          "code": "PX-CHMZMDS194066",
          "type": "CDM"
        },
        {
          "code": "A4930",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.62,
          "discounted_cash": 0.4,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.62,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.62,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.62,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.62,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 0.62,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.62,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.62,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.62,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.62,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.62,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.62,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.62,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.4
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.62,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.62,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.62,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.62,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.4
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.62,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.62,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.62,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.62,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.4
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.62,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 0.62,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.62,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "70% Isopropyl Swabstick Triple Sterile Lf",
      "code_information": [
        {
          "code": "PX-CH55ASAPSWBT",
          "type": "CDM"
        },
        {
          "code": "A4245",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.54,
          "discounted_cash": 0.35,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.54,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 0.54,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.54,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.54,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.54,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.54,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.54,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.54,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.44
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.54,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 0.54,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.54,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.54,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.44
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.54,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.54,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.54,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.54,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.54,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.44
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.54,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.54,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.54,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.54,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.54,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.54,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.54,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.54,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.54,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.44
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.54,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.54,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.44
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.44
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.54,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.54,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.54,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.54,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.54,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.54,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.54,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.54,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.54,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.54,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.54,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.44
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.54,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "Tp53 Gene Analysis; Full Gene Sequence Sendout",
      "code_information": [
        {
          "code": "PX-30000200",
          "type": "CDM"
        },
        {
          "code": "81351",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2068,
          "discounted_cash": 1344.2,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1306.98
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1819.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1327.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2406.94,
              "estimated_amount": 2406.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2406.94,
              "estimated_amount": 2406.94
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1757.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1346.27
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1509.64
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1757.8
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1757.8
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 452.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1306.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1306.98
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1695.76
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1137.4
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 641.85,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 673.94,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1673.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1346.27
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1757.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1579.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2406.94,
              "estimated_amount": 2406.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2406.94,
              "estimated_amount": 2406.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1695.76
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 641.85,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 648.27,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1714.37
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1757.8
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1757.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1813.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1813.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1306.98
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1695.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1327.66
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1509.64
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1364.88
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1509.64
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1147.74
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1757.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1695.76
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 641.85,
              "estimated_amount": 641.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1327.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1327.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1327.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2406.94,
              "estimated_amount": 2406.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1346.27
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1509.64
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1147.74
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1147.74
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1757.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1579.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1327.66
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1509.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1306.98
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1695.76
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1137.4
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1714.37
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 641.85,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 673.94,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 641.85,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 673.94,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2068,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1306.98
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2068,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1579.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2406.94,
              "estimated_amount": 2406.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1673.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1346.27
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 641.85,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 641.85,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1757.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1579.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1327.66
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 641.85,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 641.85,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 641.85,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 641.85,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1757.8
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 641.85,
              "estimated_amount": 641.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 641.85,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 648.27,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1327.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2406.94,
              "estimated_amount": 2406.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2406.94,
              "estimated_amount": 2406.94
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1757.8
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1551
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1757.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2406.94,
              "estimated_amount": 2406.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2406.94,
              "estimated_amount": 2406.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2406.94,
              "estimated_amount": 2406.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1346.27
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 564.56
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2068,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1137.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1137.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 641.85,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 648.27,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 641.85,
              "estimated_amount": 641.85
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1714.37
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1551
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1757.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1695.76
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1137.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 641.85,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 648.27,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1327.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1327.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1579.95
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1509.64
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 1344.2
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1551
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1327.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2406.94,
              "estimated_amount": 2406.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2406.94,
              "estimated_amount": 2406.94
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 641.85,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 673.94,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1695.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1695.76
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1137.4
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 641.85,
              "estimated_amount": 641.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1327.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2406.94,
              "estimated_amount": 2406.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2406.94,
              "estimated_amount": 2406.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2406.94,
              "estimated_amount": 2406.94
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1147.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1579.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2406.94,
              "estimated_amount": 2406.94
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2068
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2068,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1306.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1306.98
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1137.4
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 641.85,
              "estimated_amount": 641.85
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 641.85,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 648.27,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1757.8
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 641.85,
              "estimated_amount": 641.85
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 641.85,
              "estimated_amount": 641.85
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2068,
              "additional_payer_notes": "OUTPATIENT"
            }
          ],
          "minimum": 641.85,
          "maximum": 2406.94
        }
      ]
    },
    {
      "description": "Drug Assay Salicylate",
      "code_information": [
        {
          "code": "PX-30101511",
          "type": "CDM"
        },
        {
          "code": "80179",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 201,
          "discounted_cash": 130.65,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 90.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 164.82
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.64,
              "estimated_amount": 18.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 69.9,
              "estimated_amount": 69.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 69.9,
              "estimated_amount": 69.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 100.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 153.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 69.9,
              "estimated_amount": 69.9
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 146.73
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 170.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 90.45
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 18.64,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 18.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 90.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 164.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 110.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 18.64,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 18.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 201,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 100.5
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 201,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 130.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 125.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 69.9,
              "estimated_amount": 69.9
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 170.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 90.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 110.55
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.64,
              "estimated_amount": 18.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 125.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 69.9,
              "estimated_amount": 69.9
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 146.73
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 100.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 146.73
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 25,
              "estimated_amount": 50.25
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 170.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 90.45
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.64,
              "estimated_amount": 18.64
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 18.64,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 19.57,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 170.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 18.64,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 18.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 100.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 100.5
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 201,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 125.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 69.9,
              "estimated_amount": 69.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 69.9,
              "estimated_amount": 69.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 69.9,
              "estimated_amount": 69.9
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 18.64,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 18.64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.96,
              "estimated_amount": 12.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 125.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 125.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 69.9,
              "estimated_amount": 69.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 69.9,
              "estimated_amount": 69.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 69.9,
              "estimated_amount": 69.9
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 170.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 164.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 110.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 110.55
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 150.75
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 170.85
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 176.88
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 100.5
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.64,
              "estimated_amount": 18.64
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.64,
              "estimated_amount": 18.64
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 100.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 170.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 170.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 125.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 153.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 69.9,
              "estimated_amount": 69.9
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 18.64,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 18.64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.96,
              "estimated_amount": 12.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 90.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 90.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 164.82
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 18.64,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 18.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 201,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 164.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 110.55
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.64,
              "estimated_amount": 18.64
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 18.64,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 19.57,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 125.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 125.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 125.63
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 18.64,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 18.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 100.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 100.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 146.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 146.73
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.96,
              "estimated_amount": 12.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 150.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 125.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 69.9,
              "estimated_amount": 69.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 90.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 164.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 164.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 110.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 110.55
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 170.85
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 170.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 153.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 153.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 153.56
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 146.73
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 18.64,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 18.64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 18.64,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 19.57,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 18.64,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 19.57,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 90.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 90.45
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.64,
              "estimated_amount": 18.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 153.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 125.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 69.9,
              "estimated_amount": 69.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 69.9,
              "estimated_amount": 69.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 100.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 201
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 170.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 125.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 69.9,
              "estimated_amount": 69.9
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.96,
              "estimated_amount": 12.96
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 170.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 170.85
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 150.75
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 201,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 69.9,
              "estimated_amount": 69.9
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 170.85
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 132.66
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 164.82
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 201,
              "additional_payer_notes": "ALL OTHER OP"
            }
          ],
          "minimum": 12.96,
          "maximum": 69.9
        }
      ]
    },
    {
      "description": "Ntrk Translocation Analysis Sendout",
      "code_information": [
        {
          "code": "PX-31000159",
          "type": "CDM"
        },
        {
          "code": "81194",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 4504,
          "discounted_cash": 2927.6,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2846.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2846.53
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 3963.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3441.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1943.55,
              "estimated_amount": 1943.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3441.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2891.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3441.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1943.55,
              "estimated_amount": 1943.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1943.55,
              "estimated_amount": 1943.55
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3287.92
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2499.72
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3828.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2846.53
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3693.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2846.53
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2477.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2891.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2891.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1943.55,
              "estimated_amount": 1943.55
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2499.72
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3828.4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3828.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2846.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3950.01
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2477.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3733.82
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3828.4
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3378
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1943.55,
              "estimated_amount": 1943.55
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3828.4
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3378
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2891.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1943.55,
              "estimated_amount": 1943.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2932.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3643.74
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2499.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3693.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2891.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2891.57
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3828.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2891.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3441.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2891.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1943.55,
              "estimated_amount": 1943.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1943.55,
              "estimated_amount": 1943.55
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 2927.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3693.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2477.2
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3828.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3950.01
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3693.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2477.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3733.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2891.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1943.55,
              "estimated_amount": 1943.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3643.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2932.1
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3828.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 4504
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3828.4
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3828.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2846.53
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3693.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3693.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2477.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2891.57
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3287.92
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2499.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1943.55,
              "estimated_amount": 1943.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2932.1
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3287.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2477.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2846.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2846.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2891.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1943.55,
              "estimated_amount": 1943.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1943.55,
              "estimated_amount": 1943.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2932.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1943.55,
              "estimated_amount": 1943.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1943.55,
              "estimated_amount": 1943.55
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3287.92
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3693.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3441.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1943.55,
              "estimated_amount": 1943.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2932.1
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3287.92
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3287.92
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1229.59
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3378
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 2972.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2891.57
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3693.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2477.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3733.82
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3828.4
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3828.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3441.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1943.55,
              "estimated_amount": 1943.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1943.55,
              "estimated_amount": 1943.55
            }
          ],
          "minimum": 1943.55,
          "maximum": 1943.55
        }
      ]
    },
    {
      "description": "Strep a Amplif Na Probe",
      "code_information": [
        {
          "code": "PX-30600335",
          "type": "CDM"
        },
        {
          "code": "87651",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 192,
          "discounted_cash": 124.8,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 121.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 121.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 157.44
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 163.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 123.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 155.33
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 124.99
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 163.2
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 163.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 126.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 157.44
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 35.09,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 35.44,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 105.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 105.6
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 35.09,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 36.84,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.09,
              "estimated_amount": 35.09
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 192,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 124.99
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 140.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 146.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 168.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 105.6
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.09,
              "estimated_amount": 35.09
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 35.09,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 36.84,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 121.34
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 35.09,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 35.44,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 35.09,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 35.44,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 52.42
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 163.2
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 51.28,
              "estimated_amount": 51.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 123.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 123.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 123.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 146.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 140.16
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 140.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 157.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 157.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 105.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 105.6
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 159.17
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 163.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 123.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 35.09,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 35.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 35.09,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 35.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 163.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 123.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 155.33
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 124.8
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 163.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 159.17
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 35.09,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 36.84,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 157.44
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 35.09,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 35.44,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 192
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 163.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 121.34
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 105.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 35.09,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 35.44,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.09,
              "estimated_amount": 35.09
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 51.28,
              "estimated_amount": 51.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 157.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 123.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 123.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 146.69
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 163.2
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 140.16
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 35.09,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 35.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 140.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 121.34
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.09,
              "estimated_amount": 35.09
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 144
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 168.96
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.09,
              "estimated_amount": 35.09
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 163.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 123.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 146.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 123.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 124.99
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 106.56
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 163.2
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 144
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 124.99
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 124.99
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 140.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 168.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 121.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 157.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 157.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 105.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 121.34
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.09,
              "estimated_amount": 35.09
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 192,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 146.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 123.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 163.2
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 163.2
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 144
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 146.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 123.26
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 51.28,
              "estimated_amount": 51.28
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 163.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 121.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.09,
              "estimated_amount": 35.09
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 159.17
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 35.09,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 36.84,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 192,
              "additional_payer_notes": "OUTPATIENT"
            }
          ],
          "minimum": 35.09,
          "maximum": 131.59
        }
      ]
    },
    {
      "description": "Removal and Replacement of Substernal Implantable Defibrillator Pulse Gen",
      "code_information": [
        {
          "code": "PX-36101033",
          "type": "CDM"
        },
        {
          "code": "0614T",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 24020,
          "discounted_cash": 15613,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 21065.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 19696.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 15420.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24020,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24020,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24020,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24020,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 19432.18
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24020,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 15180.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 15180.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 19696.4
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 20417
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24020,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24020,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 15613
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24020,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24020,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 15637.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 15180.64
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 20417
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 19696.4
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 19912.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 15420.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 15420.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 15637.02
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 17534.6
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 20417
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 20417
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 18015
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 15420.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24020,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 17534.6
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 20417
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 15180.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 19696.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 19696.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 19696.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13211
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13211
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 15420.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 18351.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24020,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24020,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 15637.02
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 20417
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 18351.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 15420.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24020,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 17534.6
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 19912.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 19696.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13211
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 21137.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 18351.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 15420.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24020,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 20417
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 18015
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 15637.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 21065.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 15180.64
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13211
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24020,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 17534.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 15420.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24020,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24020,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 20417
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13211
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 20417
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 18351.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 15420.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 15420.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 18351.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 15420.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 15420.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24020,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24020,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 19432.18
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 15637.02
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24020,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 6557.46
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13211
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13211
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 15180.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 15180.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 19696.4
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 20417
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 18015
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 18351.28
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 17534.6
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 17534.6
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 15853.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24020,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 20417
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 19912.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 24020,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 20417
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 15180.64
            }
          ]
        }
      ]
    },
    {
      "description": "Personal Cleanser 2n1 Secura No Rinse 8 Oz",
      "code_information": [
        {
          "code": "PX-CHUN448000",
          "type": "CDM"
        },
        {
          "code": "A9270",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 5.04,
          "discounted_cash": 3.28,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.19
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.68
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 3.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.28
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.68
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.19
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.18
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.13
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.28
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.8
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.24
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.68
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.68
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5.04,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.19
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.77
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.77
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.28
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 5.04
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.8
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4.42
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.19
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.77
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.78
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.28
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.77
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.77
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.8
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5.04,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.28
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.19
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.77
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.13
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.13
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.68
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.78
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.28
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.13
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.13
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.28
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 4.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.19
            }
          ]
        }
      ]
    },
    {
      "description": "Tape Measure Disposable 72\"\"",
      "code_information": [
        {
          "code": "PX-CHMZNON171333",
          "type": "CDM"
        },
        {
          "code": "A9270",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.34,
          "discounted_cash": 0.22,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.34,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.34,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.34,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.34,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.34,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.34,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.34,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.34,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.34,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.34,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 0.34,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.34,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.34,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.34,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 0.34,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.34,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.34,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.34,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.34,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.22
            }
          ]
        }
      ]
    },
    {
      "description": "\"Wrap Paste Zinc Oxide Unnaboot 4\"\" X 10yds Tenderwrap\"",
      "code_information": [
        {
          "code": "PX-CHKN8034",
          "type": "CDM"
        },
        {
          "code": "A6456",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 10.21,
          "discounted_cash": 6.64,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.62
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 8.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6.65
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 10.21
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 5.67
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.68
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.45
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 8.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.37
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7.45
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.37
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.37
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.62
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 7.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7.45
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.68
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 8.26
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 5.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 5.67
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 8.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.37
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.37
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.62
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6.65
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 2.79
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 6.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.37
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 8.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.68
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 6.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 8.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.37
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.37
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.62
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.68
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 7.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6.65
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 5.67
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.68
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 7.66
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.68
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.62
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.62
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 8.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7.45
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.45
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 8.46
            }
          ]
        }
      ]
    },
    {
      "description": "Bed Pan Contour Design",
      "code_information": [
        {
          "code": "PX-CHRMP70400",
          "type": "CDM"
        },
        {
          "code": "E0275",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 7.98,
          "discounted_cash": 5.19,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.19
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4.43
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4.43
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.39
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.39
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 6.46
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5.83
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.39
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 6.62
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 6.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 7
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 5.99
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5.83
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 7.98
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5.83
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.39
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4.43
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.19
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5.83
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.78
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.78
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 5.27
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6.54
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.39
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 5.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.12
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.78
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 5.99
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6.54
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 6.62
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 7.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.19
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 5.99
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 6.46
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4.43
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.12
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.39
            }
          ]
        }
      ]
    },
    {
      "description": "1 Pc Cvx Ctf 1 1-2 Uro Pouch Flextend",
      "code_information": [
        {
          "code": "PX-CHHO84798",
          "type": "CDM"
        },
        {
          "code": "A4430",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 13.34,
          "discounted_cash": 8.67,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8.43
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 10.94
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.34,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 10.79
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 9.74
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 7.4
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 8.67
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8.43
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.34
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.34
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 10.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.34,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.34,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 9.74
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 9.74
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 9.74
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.34
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 10.01
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 8.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 10.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 10.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8.43
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 10.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 10.94
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 10.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.34,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.34,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 13.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 10.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.34,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.34
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 11.06
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8.43
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 11.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.34,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 9.74
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 10.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.34,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.34,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 10.94
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.34
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 11.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.56
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 10.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.34,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 8.68
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.34,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 3.64
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.34,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 9.74
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 11.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.34
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.34,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 7.4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 10.19
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 7.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 11.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.34
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 10.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8.43
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 10.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 10.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.34,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 8.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 8.68
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 7.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 10.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.34,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.34,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 8.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 10.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.34,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 8.68
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.34
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 11.74
            }
          ]
        }
      ]
    },
    {
      "description": "\"Abd Pad Dressing Sterile 8\"\" X 7-1/2\"\"\"",
      "code_information": [
        {
          "code": "PX-CHMZNON21453",
          "type": "CDM"
        },
        {
          "code": "A6253",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.42,
          "discounted_cash": 0.27,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.42,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.42,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.42,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.42,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.42,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.42,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.42,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.42,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.42,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.42,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.42,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.42,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.42,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.42,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.42,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 0.42,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.42,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.42,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.42,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.42,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.42,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.42,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.42,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.42,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 0.42,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.42,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.42,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.42,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.42,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.42,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.42,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.42,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.42,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.42,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.42,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.42,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.42,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.42,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.42,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.42,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "\"Alginate Calcium Reinforced 6\"\" X 6\"\" Pad Cardinal\"",
      "code_information": [
        {
          "code": "PX-CHZCA66RF",
          "type": "CDM"
        },
        {
          "code": "A6197",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 4.43,
          "discounted_cash": 2.88,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.8
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3.67
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.23
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.63
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.44
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.46
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.77
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.44
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3.67
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3.67
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.23
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4.43,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.88
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4.43,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.63
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.38
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.23
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.88
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.77
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.63
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.23
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.23
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.32
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.77
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 2.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.8
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.77
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.63
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.38
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.88
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.84
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3.89
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.44
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.77
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.88
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.77
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.46
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.63
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 3.9
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 4.43
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.44
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.46
            }
          ]
        }
      ]
    },
    {
      "description": "\"Gait Belt W Quick Release 52\"\" Lf\"",
      "code_information": [
        {
          "code": "PX-CH826524Q",
          "type": "CDM"
        },
        {
          "code": "E0700",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 13.87,
          "discounted_cash": 9.02,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.87,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.87,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 9.03
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 11.37
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.87,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.87,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 9.03
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.79
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 9.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8.77
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 11.37
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 11.37
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.87,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.87,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 7.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.87,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 9.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8.77
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 11.37
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.63
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 10.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 11.22
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 7.7
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.79
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.87,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.87,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.87,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 10.13
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 10.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 12.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8.77
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 11.37
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 11.37
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.87,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.87,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 13.87
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.79
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.87,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 10.13
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 10.13
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 9.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 12.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8.77
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 11.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 10.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 10.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 10.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.87,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.87,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 10.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 11.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 9.03
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 10.13
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 11.37
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.79
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.63
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 11.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 11.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 9.03
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 11.37
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 10.13
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 7.7
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 7.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 10.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.87,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 10.13
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 3.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8.77
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 12.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 10.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.87,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 10.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.63
            }
          ]
        }
      ]
    },
    {
      "description": "Gloves Intco Vinyl Exam X-Large Lf",
      "code_information": [
        {
          "code": "PX-CHSECVGPF3004",
          "type": "CDM"
        },
        {
          "code": "A4927",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.16,
          "discounted_cash": 0.1,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.16,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.16,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.16,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.16,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.16,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.16,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.16,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.16,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.16,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.16,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 0.16
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.16,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.16,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.16,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.16,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.16,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.16,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.16,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.16,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.16,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.16,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.16,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.16,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.16,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.16,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.16,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.16,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.16,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.14
            }
          ]
        }
      ]
    },
    {
      "description": "Foam Drsg Adhesive Border Allevyn Gentle 6 in X 6 In",
      "code_information": [
        {
          "code": "PX-CHUN66800840",
          "type": "CDM"
        },
        {
          "code": "A6213",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 15.8,
          "discounted_cash": 10.27,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9.99
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 12.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12.07
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10.29
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11.53
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 8.77
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.8,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 15.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10.29
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 15.8,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.8,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.8,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9.99
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 13.86
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.69
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.8,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.8,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.8,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.8,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 12.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.69
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 13.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9.99
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 12.96
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.8,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.43
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 13.9
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 8.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.8,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.8,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.8,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.8,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 10.43
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.8,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.8,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 13.86
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.8,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.14
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12.07
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 4.31
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.8,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 11.85
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.43
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 12.96
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.8,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.8,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 11.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9.99
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.69
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.8,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.8,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.8,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.8,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.8,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 12.78
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11.53
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11.53
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.8,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 15.8,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 11.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9.99
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.8,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.43
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.8,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10.29
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.8,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.8,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10.29
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 12.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 12.96
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.8,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12.07
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 8.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 12.78
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11.53
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 10.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9.99
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 12.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.69
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.8,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 13.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9.99
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 13.1
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.8,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.8,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.8,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11.53
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 8.77
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.8,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.8,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.43
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.43
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9.99
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 12.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.69
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.8,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.8,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10.29
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.43
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.8,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "\"Mepilex Border Sacrum Ag 7.2\"\" X 7.2\"\" Lf\"",
      "code_information": [
        {
          "code": "PX-CHSM382090",
          "type": "CDM"
        },
        {
          "code": "A6213",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 75,
          "discounted_cash": 48.75,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 47.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 48.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 48.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 57.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 57.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 60.68
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 54.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 41.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 61.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 47.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 47.4
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 62.18
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 56.25
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 49.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 41.63
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 75,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 61.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 61.5
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 47.4
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 48.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 75,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 63.75
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 63.75
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 20.48
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 61.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 41.25
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 41.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 41.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 62.18
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 62.18
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 57.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 48.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 48.83
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 54.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 41.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 57.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 48.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 54.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 41.63
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 63.75
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 48.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 41.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 63.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 61.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 41.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 63.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 48.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 63.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 65.78
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 41.25
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 63.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 47.4
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 48.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 48.83
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 54.75
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 63.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 48.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 57.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 48.83
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 48.83
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 54.75
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 47.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 61.5
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 56.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 48.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 60.68
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 56.25
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 63.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 48.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 48.15
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 75
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 47.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 47.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 65.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 61.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 61.5
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 63.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 48.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 63.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 57.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 48.83
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 54.75
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 63.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 41.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "\"Drsg Hydrogel Cutimed Sorbact 3\"\" X 3\"\" Lf\"",
      "code_information": [
        {
          "code": "PX-CHBI7261112",
          "type": "CDM"
        },
        {
          "code": "A6231",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 11.98,
          "discounted_cash": 7.79,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.57
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7.8
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 11.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 10.51
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.57
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.59
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.59
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 8.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.69
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 3.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.18
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 8.99
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.59
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 9.93
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7.8
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8.75
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 6.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.82
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.82
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 9.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.69
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 8.99
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.57
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.82
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7.8
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 6.65
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 6.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 9.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 9.15
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 10.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 9.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 6.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 9.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 9.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 9.15
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.18
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 7.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.57
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.18
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 7.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 9.69
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.82
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 9.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.57
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.57
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 10.54
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8.75
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8.75
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.18
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.18
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.59
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 9.69
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.82
            }
          ]
        }
      ]
    },
    {
      "description": "\"Posey Hipster Brief Large 41-45\"\" Lf\"",
      "code_information": [
        {
          "code": "PX-CH826016L",
          "type": "CDM"
        },
        {
          "code": "A4649",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 52.74,
          "discounted_cash": 34.28,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 46.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 46.25
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 52.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 52.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 46.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 52.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 34.33
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 52.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 44.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 33.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 52.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 38.5
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 14.4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 44.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 33.33
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 29.01
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 52.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 52.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 44.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 33.33
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 29.01
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 52.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 52.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 52.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 33.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 52.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 42.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 40.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 40.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 42.67
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 29.27
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 52.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 44.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 33.33
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 44.83
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 43.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 29.01
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 43.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 40.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 52.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 34.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 33.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 33.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 52.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 43.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 29.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 33.33
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 43.72
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 52.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 33.86
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 34.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 40.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 52.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 52.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 52.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 44.83
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 43.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 29.01
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 52.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 33.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 52.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 52.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 52.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 38.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 38.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 52.74
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 29.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 33.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 33.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 52.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 52.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 52.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 52.74,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 34.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 33.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 33.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 33.33
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 43.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 52.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 52.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 52.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 44.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 33.33
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 43.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 52.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 33.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 52.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 44.83
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 34.33
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 39.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 40.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 52.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 29.27
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 52.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 44.83
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 44.83
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 52.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 43.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 29.01
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 43.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 33.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 40.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 52.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 38.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 44.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 33.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 33.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 52.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 34.33
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 52.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 29.01
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 52.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 39.56
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 38.5
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 52.74,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 43.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 52.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 38.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 29.27
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 44.83
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 39.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 43.25
            }
          ]
        }
      ]
    },
    {
      "description": "Insert Replacement Pulse Generator Only Isdss",
      "code_information": [
        {
          "code": "PX-48000094",
          "type": "CDM"
        },
        {
          "code": "0680T",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 3067,
          "discounted_cash": 1993.55,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2689.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3067,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2238.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1969.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3067,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3067,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2606.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1938.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1938.34
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1686.85
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2606.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2343.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2343.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3067,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1996.62
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1702.19
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2606.95
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2606.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1969.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3067,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1996.62
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1996.62
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2514.94
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1686.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1686.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1969.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3067,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2481.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1996.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1969.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1969.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1969.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2343.19
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2606.95
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 2024.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2514.94
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1686.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1938.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1938.34
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2542.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1969.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3067,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2238.91
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 837.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3067,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1702.19
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 1993.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2689.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2514.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1938.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1969.01
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2238.91
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2238.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3067,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3067,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2300.25
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2300.25
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2606.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1938.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1969.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1969.01
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2606.95
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2238.91
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1702.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3067,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3067,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2606.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1938.34
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1686.85
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2542.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1938.34
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2542.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3067,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3067,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2481.2
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2606.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2343.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2343.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1996.62
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1702.19
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2606.95
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 2698.96
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2606.95
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2300.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3067,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1969.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2343.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3067,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2238.91
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 3067
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2514.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2514.94
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1686.85
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2606.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1969.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3067,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2514.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2514.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2514.94
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1686.85
            }
          ]
        }
      ]
    },
    {
      "description": "Shampoo & Body Wash Rinse-Free 7.1 Oz",
      "code_information": [
        {
          "code": "PX-CHKLE200905",
          "type": "CDM"
        },
        {
          "code": "A9286",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 4.21,
          "discounted_cash": 2.74,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3.69
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.7
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.07
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.66
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.74
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.07
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 4.21
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.07
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.34
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.66
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.74
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3.41
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4.21,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.07
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.32
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3.49
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.45
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.74
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.07
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4.21,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.34
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.66
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.45
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3.49
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.66
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.07
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 2.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.74
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.34
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.66
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.45
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 3.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.22
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.74
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.34
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.7
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3.49
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.45
            }
          ]
        }
      ]
    },
    {
      "description": "Lipoprotein a Sendout",
      "code_information": [
        {
          "code": "PX-30101537",
          "type": "CDM"
        },
        {
          "code": "83695",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 55,
          "discounted_cash": 35.75,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 24.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 14.32,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 14.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 14.32,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 15.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 36.65,
              "estimated_amount": 36.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 53.7,
              "estimated_amount": 53.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 53.7,
              "estimated_amount": 53.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 27.5
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 41.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 45.1
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.32,
              "estimated_amount": 14.32
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 14.32,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 15.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 41.25
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 46.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 24.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 24.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 30.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.32,
              "estimated_amount": 14.32
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 55,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 36.65,
              "estimated_amount": 36.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 53.7,
              "estimated_amount": 53.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 53.7,
              "estimated_amount": 53.7
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 40.15
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 46.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 36.65,
              "estimated_amount": 36.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 53.7,
              "estimated_amount": 53.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 53.7,
              "estimated_amount": 53.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 27.5
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 14.32,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 14.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 46.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 24.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 30.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 30.25
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 14.32,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 14.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 46.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.23,
              "estimated_amount": 35.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 53.7,
              "estimated_amount": 53.7
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 40.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.23,
              "estimated_amount": 35.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 27.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 40.15
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 46.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 24.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 30.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.32,
              "estimated_amount": 14.32
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.32,
              "estimated_amount": 14.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 27.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 27.5
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 35.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 36.65,
              "estimated_amount": 36.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 53.7,
              "estimated_amount": 53.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 53.7,
              "estimated_amount": 53.7
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.1,
              "estimated_amount": 11.1
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 25,
              "estimated_amount": 13.75
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 27.5
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 14.32,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 15.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 45.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 45.1
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 46.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.1,
              "estimated_amount": 11.1
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 40.15
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 40.15
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.1,
              "estimated_amount": 11.1
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 14.32,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 14.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 46.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 24.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 30.25
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 27.5
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.32,
              "estimated_amount": 14.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 45.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 45.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 14.32,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 14.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.23,
              "estimated_amount": 35.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 53.7,
              "estimated_amount": 53.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 53.7,
              "estimated_amount": 53.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 53.7,
              "estimated_amount": 53.7
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 55
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 46.75
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 46.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.23,
              "estimated_amount": 35.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.23,
              "estimated_amount": 35.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 53.7,
              "estimated_amount": 53.7
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 46.75
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 46.75
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 36.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 24.75
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 14.32,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 15.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 24.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 45.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 30.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 14.32,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 14.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.32,
              "estimated_amount": 14.32
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.13,
              "estimated_amount": 19.13
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 55,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 48.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 36.65,
              "estimated_amount": 36.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 36.65,
              "estimated_amount": 36.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 36.65,
              "estimated_amount": 36.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 53.7,
              "estimated_amount": 53.7
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.13,
              "estimated_amount": 19.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 36.65,
              "estimated_amount": 36.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 36.65,
              "estimated_amount": 36.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 53.7,
              "estimated_amount": 53.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 53.7,
              "estimated_amount": 53.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 27.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 46.75
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 46.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 41.25
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 55,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 46.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 45.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 14.32,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 14.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.32,
              "estimated_amount": 14.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 36.65,
              "estimated_amount": 36.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 53.7,
              "estimated_amount": 53.7
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.13,
              "estimated_amount": 19.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 36.65,
              "estimated_amount": 36.65
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.1,
              "estimated_amount": 11.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 24.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 24.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 45.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 36.65,
              "estimated_amount": 36.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.23,
              "estimated_amount": 35.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 27.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 40.15
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 14.32,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 14.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 30.25
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 27.5
            }
          ],
          "minimum": 11.1,
          "maximum": 53.7
        }
      ]
    },
    {
      "description": "Pulmonary Rehab WO Oximetry Monitoring",
      "code_information": [
        {
          "code": "PX-94800002",
          "type": "CDM"
        },
        {
          "code": "94625",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 198,
          "discounted_cash": 128.7,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 125.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 162.36
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 162.36
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 53.92,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 53.92,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 168.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 127.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 160.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 151.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 151.27
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 144.54
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 53.39,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 54.05
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 168.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 53.92,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 56.06,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 56.06,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 127.12
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 144.54
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 168.3
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 168.3
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 198,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 198,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 198,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 53.39,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 125.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 125.14
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 53.39,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 198,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 108.9
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 164.14
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 198,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 151.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 127.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 198,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 198,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 128.9
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 53.39,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 198,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 127.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 198,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 198,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 198,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 144.54
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 109.89
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 168.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 125.14
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 108.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 53.92,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 164.14
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 168.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 162.36
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 162.36
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 162.36
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 108.9
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 53.39,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 164.14
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 174.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 198,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 198,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 160.18
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 128.9
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 109.89
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 128.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 127.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 198,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 148.5
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 130.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 162.36
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 53.39,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 198,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 168.3
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 53.39,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 198,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 56.06,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 151.27
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 168.3
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 168.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 127.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 127.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 198,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 162.36
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 168.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 125.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 127.12
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 144.54
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 168.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 151.27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 128.9
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 168.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 125.14
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 108.9
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 52.26,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 53.92,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 148.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 127.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 198,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 198,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 128.9
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 144.54
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 109.89
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 109.89
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 148.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 127.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 151.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 198,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 198,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 128.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 125.14
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 108.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 108.9
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 53.39,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 56.06,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 198,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 144.54
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 198
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 168.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 127.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 127.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 198,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 125.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 173.65
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 108.9
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 168.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 173.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 162.36
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 52.26,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "2 Pc Ctf Ext Wear Cvx 3-4 in - 1 1-4 in Assura Red",
      "code_information": [
        {
          "code": "PX-CHSW14282",
          "type": "CDM"
        },
        {
          "code": "A4407",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 13.45,
          "discounted_cash": 8.74,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 11.15
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 13.45,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 10.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 13.45,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 13.45,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 7.46
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 11.03
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 13.45,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 8.76
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 7.46
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 13.45,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 10.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 10.88
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 9.82
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 13.45,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 11.03
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.43
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 11.03
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 13.45,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 10.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 8.76
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 9.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 8.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 11.8
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 13.45,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 13.45,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 13.45,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 11.03
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 13.45,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 11.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 8.76
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 9.82
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 10.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 7.46
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.43
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.4
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 13.45,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 10.88
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 9.82
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 13.45,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.43
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 10.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.4
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 13.45,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 13.45,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 11.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 11.03
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 11.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 11.03
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 13.45,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 13.45,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 10.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 13.45
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 10.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 9.82
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 9.82
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 13.45,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.4
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 11.15
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 13.45,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 13.45,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 13.45,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 13.45,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 13.45,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 11.84
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 8.76
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 7.46
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 3.67
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 8.74
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 10.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.43
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 8.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8.5
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 10.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 13.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 11.03
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.4
            }
          ]
        }
      ]
    },
    {
      "description": "\"Knee Brace Lrg 17.5\"\" to 20\"\" Beige\"",
      "code_information": [
        {
          "code": "PX-CHSSSA3611BEILG",
          "type": "CDM"
        },
        {
          "code": "A4467",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 16.23,
          "discounted_cash": 10.55,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 14.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13.31
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 13.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 10.55
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 12.17
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13.31
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.26
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 12.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 9.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.26
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10.57
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 9.01
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13.31
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.42
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10.57
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.8
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 9.01
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.93
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13.31
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.93
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.8
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 14.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.8
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 4.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 14.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.26
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 13.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10.57
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13.31
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.93
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11.85
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11.85
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 16.23
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 10.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12.4
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.8
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13.31
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 13.45
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 13.13
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 9.01
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 12.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10.57
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.8
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.8
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 13.45
            }
          ]
        }
      ]
    },
    {
      "description": "Extra Male External Catheter Self-Adhesive, Intermediate 32",
      "code_information": [
        {
          "code": "PX-CH5097632",
          "type": "CDM"
        },
        {
          "code": "A4349",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2.24,
          "discounted_cash": 1.46,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.86
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.84
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.71
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.9
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.9
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.9
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.24
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.9
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.68
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.9
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1.81
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.71
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.61
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.84
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.86
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.84
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.9
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.71
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1.97
            }
          ]
        }
      ]
    },
    {
      "description": "Intake/Outtake Triangular Container 32oz Lf",
      "code_information": [
        {
          "code": "PX-CH60DYND80417",
          "type": "CDM"
        },
        {
          "code": "A9270",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1.45,
          "discounted_cash": 0.94,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1.27
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.06
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.8
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1.17
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1.45,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.06
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1.45
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1.45,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.94
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.94
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.19
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.19
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.06
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.8
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.4
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.06
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.19
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.8
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1.27
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.8
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1.17
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.8
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.94
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.8
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.19
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.92
            }
          ]
        }
      ]
    },
    {
      "description": "Hearing Loss Dup/Del Analysis Sendout",
      "code_information": [
        {
          "code": "PX-30600351",
          "type": "CDM"
        },
        {
          "code": "81431",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2466,
          "discounted_cash": 1602.9,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1558.51
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2044.31
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2096.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2548.39,
              "estimated_amount": 2548.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2548.39,
              "estimated_amount": 2548.39
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1800.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1583.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1583.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2548.39,
              "estimated_amount": 2548.39
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1800.18
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1356.3
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2096.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1558.51
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1356.3
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1849.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1583.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1583.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2548.39,
              "estimated_amount": 2548.39
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1605.37
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1849.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2548.39,
              "estimated_amount": 2548.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2548.39,
              "estimated_amount": 2548.39
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1356.3
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2096.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2162.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2022.12
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1356.3
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2044.31
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2096.1
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2096.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1558.51
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 2170.08
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2096.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2162.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2022.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1884.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1583.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1884.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2548.39,
              "estimated_amount": 2548.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2548.39,
              "estimated_amount": 2548.39
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1605.37
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1849.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1583.17
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1605.37
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1800.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1558.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2022.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1884.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2548.39,
              "estimated_amount": 2548.39
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1368.63
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1368.63
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 673.22
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2096.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1884.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1884.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2548.39,
              "estimated_amount": 2548.39
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1994.99
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2466
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1356.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1884.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1583.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2548.39,
              "estimated_amount": 2548.39
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2096.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2548.39,
              "estimated_amount": 2548.39
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1994.99
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1800.18
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1800.18
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2096.1
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2096.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1558.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2022.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2022.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2022.12
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1356.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1583.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1583.17
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1605.37
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1368.63
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1368.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2548.39,
              "estimated_amount": 2548.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2548.39,
              "estimated_amount": 2548.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2548.39,
              "estimated_amount": 2548.39
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1800.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1558.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1558.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2022.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2548.39,
              "estimated_amount": 2548.39
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2096.1
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 1602.9
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1627.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1583.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1583.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2548.39,
              "estimated_amount": 2548.39
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1605.37
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2022.12
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1356.3
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2044.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1583.17
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2096.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1558.51
            }
          ],
          "minimum": 2548.39,
          "maximum": 2548.39
        }
      ]
    },
    {
      "description": "\"Drsg Foam Hydrophillic Copa Plus 4\"\" X 4\"\" Lf\"",
      "code_information": [
        {
          "code": "PX-CHKN55544P",
          "type": "CDM"
        },
        {
          "code": "A6209",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 3.85,
          "discounted_cash": 2.5,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.43
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.85,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.85,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 3.85
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.85,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.47
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.51
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.85,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.43
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.85,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 3.39
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2.89
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.12
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.85,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.85,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.94
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3.11
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.81
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3.85,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3.85,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.43
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.12
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.85,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.85,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.85,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.85,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.51
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.81
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3.38
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.85,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.85,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.27
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.81
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.94
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.81
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.27
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.43
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.85,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.43
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.27
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.85,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.85,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.85,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.85,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.85,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.85,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.85,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.85,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.51
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.43
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.16
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.85,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.85,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.85,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.85,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.85,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.85,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.85,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3.11
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.27
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.85,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.51
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.12
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.85,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3.19
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.85,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.43
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.85,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.47
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.47
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.85,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.12
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.12
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.85,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.81
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.81
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.14
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 2.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.85,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.27
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.16
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.85,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.85,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.43
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.12
            }
          ]
        }
      ]
    },
    {
      "description": "Clinical Study Device/Supply",
      "code_information": [
        {
          "code": "PX-62400250",
          "type": "CDM"
        },
        {
          "code": "C1888",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1,
          "discounted_cash": 0.65,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
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              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
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              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
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              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
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              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
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              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
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              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
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              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
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              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 17000,
          "discounted_cash": 11050,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10744
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13940
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 14093
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14450
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 10676
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 11033
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 13753
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 11067
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 9435
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10914
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 11067
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 12750
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10744
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10744
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13940
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13940
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 9435
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 17000
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 4641
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10914
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 10676
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 10676
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 11067
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14450
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14450
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14450
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10744
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10744
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9350
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9350
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 14093
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 14909
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 14093
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12988
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12988
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 12750
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14450
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10914
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 12750
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13940
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10914
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10914
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12988
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 10676
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13940
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10914
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 10676
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 9435
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12988
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10914
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12988
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 10676
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 10676
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 11067
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12410
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 9435
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 11050
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 14909
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10914
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 10676
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10914
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 10676
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 10676
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 11033
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12410
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10744
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10744
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9350
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13940
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 13753
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12410
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12410
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 10676
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 10676
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 11033
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 10676
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14450
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13940
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13940
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9350
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9350
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9350
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14450
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14450
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10744
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9350
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10914
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12410
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14450
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14450
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14450
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 11220
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10914
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10914
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 11033
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 11067
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12410
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 14960
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12988
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14450
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 6500,
          "discounted_cash": 4225,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4108
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5330
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6500,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4173
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4966
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 6500,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 6500,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 5258.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5525
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5525
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3575
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6500,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6500,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6500,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 5700.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3575
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3575
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6500,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 1423.5
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5525
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5525
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4173
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4173
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 6500,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 6500,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4231.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4173
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4173
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 6500,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 6500,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4745
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3575
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6500,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6500,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 6500,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 6500,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4875
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 6500,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6500,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5525
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 6500,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4875
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4108
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 5388.5
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6500,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 5388.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4173
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 6500,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 6500,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 6500,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4231.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4108
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5330
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5330
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6500,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 5388.5
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6500,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6500,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5525
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 5720
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4108
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 6500,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4745
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4875
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5525
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4231.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4745
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4745
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3607.5
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1774.5
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 6500,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 4225
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4108
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 5700.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5330
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3575
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5525
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5330
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4966
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4173
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 5258.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4231.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5525
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5525
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4173
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4173
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 6500,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 6500,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4745
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3607.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 6500
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5525
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 4290
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4108
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5330
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5330
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3575
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 6500,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6500,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4173
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4173
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 6500,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4745
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6500,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4108
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5330
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3575
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6500,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6500,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6500,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4966
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4966
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3607.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5525
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4966
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4966
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 6500,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3607.5
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6500,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5525
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 6500,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6500,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4173
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 6500,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4231.5
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5525
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4108
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 1000,
          "discounted_cash": 650,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 632
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 820
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1000,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 850
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1000,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1000,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1000,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 764
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 730
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1000,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 820
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1000,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 550
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 829
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1000,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1000,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 642
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 642
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 642
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1000,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 850
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 850
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 850
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 820
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 820
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1000,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1000,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 877
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 820
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 820
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1000,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1000,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1000,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 809
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 850
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 850
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 764
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 850
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 632
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 632
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 550
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1000,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 750
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 820
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1000,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 642
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 273
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 750
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 642
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 651
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1000
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 555
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1000,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 877
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 632
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 550
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 642
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 750
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 850
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 764
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1000,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1000,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1000,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 651
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 555
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 555
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1000,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1000,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 880
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1000,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1000,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1000,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 651
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 730
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1000,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 642
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1000,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 651
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 730
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 850
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 660
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 550
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1000,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 850
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 632
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 550
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1000,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 829
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 219
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 850
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 764
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 764
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 642
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1000,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 809
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 850
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 642
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1000,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 632
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 829
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1000,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1000,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 632
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 642
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1000,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1000,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 642
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 764
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1000,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1000,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1000,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1000,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 651
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 730
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 555
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 650
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 820
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 550
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 550
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1000,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 642
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 730
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 730
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 850
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 632
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1000,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 850
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 6450,
          "discounted_cash": 4192.5,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4076.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5289
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6450,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 6450,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5482.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4927.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4140.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4198.95
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4708.5
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6450,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5482.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4927.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4140.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4198.95
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 4257
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 5347.05
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5482.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 5656.65
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3547.5
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6450,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4140.9
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4708.5
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6450,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1760.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 6450,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 6450,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 5218.05
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4708.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5482.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5289
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6450,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3547.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 5347.05
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6450,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4927.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4140.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 6450,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4927.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 6450,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5482.5
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6450,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4076.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3547.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3547.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6450,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6450,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6450,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5482.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4927.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4140.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 6450,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 6450,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4708.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4140.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 6450,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4198.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 5218.05
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4708.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 6450
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 6450,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4076.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5289
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3547.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3547.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4076.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4076.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6450,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6450,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6450,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 6450,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4140.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 6450,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 6450,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4708.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3579.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3579.75
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5482.5
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5482.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 6450,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3547.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6450,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 5347.05
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6450,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6450,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 1412.55
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 5676
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4076.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4140.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 6450,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 6450,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 6450,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4198.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5482.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4140.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4140.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4927.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5289
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 6450,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4837.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5289
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4140.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 6450,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 6450,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3579.75
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 6450,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 4192.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4140.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 6450,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3579.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4076.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 5656.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5289
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5289
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6450,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5482.5
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4837.5
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5482.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 6450,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4198.95
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5482.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4076.4
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6450,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6450,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5482.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5482.5
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4837.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5289
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 3250,
          "discounted_cash": 2112.5,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2850.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2665
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 3250,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2115.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1803.75
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2762.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2086.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2483
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 3250,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2372.5
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3250,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 887.25
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3250,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2665
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2694.25
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3250,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2762.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2629.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1803.75
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2762.5
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2762.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2665
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3250,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 2860
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2483
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2629.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 3250
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2086.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2086.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2115.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1803.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2054
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2054
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2665
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2694.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3250,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2850.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1787.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3250,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3250,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2086.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 3250,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 3250,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3250,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2086.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2086.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2483
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2483
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 3250,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 3250,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 3250,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2372.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2372.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2054
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2437.5
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3250,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2086.5
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3250,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3250,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 711.75
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3250,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2054
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3250,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3250,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3250,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 3250,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2115.75
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2372.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2086.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2086.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 3250,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 3250,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 3250,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3250,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2762.5
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2762.5
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 2112.5
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2437.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3250,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2762.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2054
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1787.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1787.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2694.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2086.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 3250,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2372.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1803.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2483
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 3250,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 3250,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 3250,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2115.75
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2372.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2762.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2762.5
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2437.5
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2762.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2054
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2665
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3250,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2665
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2665
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2665
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1787.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1787.5
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3250,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3250,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2762.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2086.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 3250,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 3250,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2483
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2115.75
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2762.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2762.5
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 2145
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2054
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3250,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3250,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2086.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2054
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1787.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1787.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3250,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3250,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2762.5
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 200,
          "discounted_cash": 130,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 175.4
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 170
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 130.2
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 146
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 170
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 170
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 175.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 110
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 150
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 128.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 129.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 125.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 128.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 129.8
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 150
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 130
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 164
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 110
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 126.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 110
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 152.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 128.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 128.4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 170
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 170
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 125.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 161.8
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 146
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 111
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 200
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 54.6
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 132
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 126.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 110
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 165.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 126.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 164
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 164
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 146
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 170
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 125.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 126.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 110
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 164
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 110
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 165.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 128.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 125.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 128.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 128.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 152.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 125.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 125.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 111
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 126.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 126.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 164
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 165.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 125.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
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              "standard_charge_percentage": 64.9,
              "estimated_amount": 129.8
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 176
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 111
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 152.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 125.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 125.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 130.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 126.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 164
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 164
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 170
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 152.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 128.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 128.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 128.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 125.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
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              "standard_charge_percentage": 65.1,
              "estimated_amount": 130.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 161.8
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
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              "standard_charge_percentage": 73,
              "estimated_amount": 146
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 170
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 170
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 150
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
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              "standard_charge_percentage": 65.1,
              "estimated_amount": 130.2
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 146
            },
            {
              "payer_name": "COFINITY [407]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 170
            },
            {
              "payer_name": "MMO [485]",
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              "standard_charge_percentage": 63.2,
              "estimated_amount": 126.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
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              "standard_charge_percentage": 82,
              "estimated_amount": 164
            },
            {
              "payer_name": "HEALTHREACH [540]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 110
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 128.4
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 128.4
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 125.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
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              "standard_charge_percentage": 55.5,
              "estimated_amount": 111
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
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              "standard_charge_percentage": 76.4,
              "estimated_amount": 152.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
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              "standard_charge_percentage": 64.9,
              "estimated_amount": 129.8
            },
            {
              "payer_name": "CIGNA [370]",
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              "standard_charge_percentage": 65.1,
              "estimated_amount": 130.2
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 170
            },
            {
              "payer_name": "AHPO [305]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 170
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 76.4,
              "estimated_amount": 152.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 125.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 125.6
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
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              "standard_charge_percentage": 73,
              "estimated_amount": 146
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 2500,
          "discounted_cash": 1625,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
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              "standard_charge_percentage": 63.2,
              "estimated_amount": 1580
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
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              "standard_charge_percentage": 82,
              "estimated_amount": 2050
            },
            {
              "payer_name": "AHPO [305]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 2125
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 1605
            },
            {
              "payer_name": "HUMANA [465]",
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              "standard_charge_percentage": 65,
              "estimated_amount": 1625
            },
            {
              "payer_name": "AETNA [310]",
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              "estimated_amount": 1605
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              "payer_name": "AETNA [310]",
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              "estimated_amount": 1910
            },
            {
              "payer_name": "UHC [625]",
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              "estimated_amount": 1570
            },
            {
              "payer_name": "MMO [485]",
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              "standard_charge_percentage": 63.2,
              "estimated_amount": 1580
            },
            {
              "payer_name": "MMO [485]",
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              "standard_charge_percentage": 63.2,
              "estimated_amount": 1580
            },
            {
              "payer_name": "HEALTHREACH [540]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 1375
            },
            {
              "payer_name": "FLORA [411]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 2125
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 76.4,
              "estimated_amount": 1910
            },
            {
              "payer_name": "HEALTHSMART [493]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 2125
            },
            {
              "payer_name": "CIGNA [370]",
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              "estimated_amount": 1627.5
            },
            {
              "payer_name": "CIGNA [370]",
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              "standard_charge_percentage": 80.9,
              "estimated_amount": 2022.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 1375
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
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              "standard_charge_percentage": 82.9,
              "estimated_amount": 2072.5
            },
            {
              "payer_name": "MMO [485]",
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              "standard_charge_percentage": 63.2,
              "estimated_amount": 1580
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 1605
            },
            {
              "payer_name": "CIGNA [370]",
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              "standard_charge_percentage": 65.1,
              "estimated_amount": 1627.5
            },
            {
              "payer_name": "ANTHEM [335]",
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              "standard_charge_percentage": 55.5,
              "estimated_amount": 1387.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 2125
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 1605
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 1570
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 1570
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1375
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2125
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
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              "standard_charge_percentage": 82,
              "estimated_amount": 2050
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 1570
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 1570
            },
            {
              "payer_name": "OSU [553]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1825
            },
            {
              "payer_name": "HEALTHLINK [443]",
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              "standard_charge_percentage": 75,
              "estimated_amount": 1875
            },
            {
              "payer_name": "MMO [485]",
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              "standard_charge_percentage": 63.2,
              "estimated_amount": 1580
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
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              "standard_charge_percentage": 87.7,
              "estimated_amount": 2192.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1605
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1605
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 1570
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1627.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2125
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2125
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1605
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1910
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 1570
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1825
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2125
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2050
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2072.5
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 2200
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2125
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1580
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1605
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2022.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 1570
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 1622.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1825
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1580
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2050
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2072.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2050
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1605
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1910
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1605
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 1622.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 1570
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1825
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2125
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2125
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1605
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1910
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 1622.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 1570
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1627.5
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1875
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1650
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1580
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2050
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2192.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2050
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1375
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1605
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 1570
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 1622.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 1570
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1825
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1825
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2500
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1387.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1387.5
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 682.5
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2125
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2050
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1375
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1375
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1875
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1910
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 1570
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1627.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1387.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1375
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 3500,
          "discounted_cash": 2275,
          "payers_information": [
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2870
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2870
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2674
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2674
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 2198
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2831.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 3500
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 2247
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2247
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2555
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 1925
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1925
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2278.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1942.5
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 955.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2247
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 2198
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2278.5
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2975
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 2310
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2975
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2212
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3069.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3069.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2870
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2870
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1925
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2901.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2870
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2278.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2555
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2247
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2247
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2674
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 2198
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1942.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2212
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 3080
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2975
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2212
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2975
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2247
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 2198
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 2198
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 2198
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1942.5
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2975
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2278.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2278.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2212
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2975
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2247
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 2198
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 2271.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2831.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2555
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2975
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 2271.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2975
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2212
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1925
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2212
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 2198
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 2271.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 2271.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2555
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2247
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2247
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 2198
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 2198
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2625
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2212
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1925
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2555
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2975
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2625
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2674
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2674
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 2198
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 2198
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2555
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 2275
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2870
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1925
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2247
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2247
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 2198
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1942.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2674
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2975
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2212
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2870
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2870
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2901.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2901.5
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2975
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2247
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2975
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1925
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2625
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 32500,
          "discounted_cash": 21125,
          "payers_information": [
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 26650
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 17875
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 17875
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 24830
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 20865
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 20865
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 20410
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 27625
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 21450
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 20865
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 18037.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 27625
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 20540
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 20540
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 17875
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 21092.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 20410
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 24375
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 20540
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 17875
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 27625
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 26650
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 20410
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 21092.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 26292.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 27625
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 27625
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 20865
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 20865
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 20865
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 20410
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 20410
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 20410
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 23725
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 28502.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 26650
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 26942.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 20410
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 21157.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 32500
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 18037.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 21092.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 20410
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 21157.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 21157.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 27625
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 21125
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 26650
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 24375
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 28600
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 20410
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 27625
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 24830
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 20410
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 20410
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 23725
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 23725
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 23725
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 20540
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 20540
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 26650
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 26650
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 24830
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 20865
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 20865
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 18037.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 24830
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 20865
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 23725
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 23725
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 18037.5
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 27625
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 28502.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 17875
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 20540
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 20540
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 20540
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 24830
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 20865
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 8872.5
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 24375
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 27625
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 24830
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 26292.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 26650
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 26942.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 17875
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 17875
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 21092.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 20410
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 21157.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 20410
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 21157.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 26650
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 27625
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 27625
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 20865
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 20865
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 26942.5
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 27625
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 26000,
          "discounted_cash": 16900,
          "payers_information": [
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 21320
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 21320
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 26000,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 22880
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 26000,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 16926
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 18980
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 18980
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 19864
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 16692
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 21034
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 21320
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 10885.82,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 5694
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 22100
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 7312.76,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 7312.76,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 26000,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 19500
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 26000,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 18980
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 22100
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 16692
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 19864
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 16692
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 16692
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 26000,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 26000,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 21034
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 14430
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 16900
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 22100
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 7312.76,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 16432
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 22802
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 21554
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 7312.76,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 16692
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 16692
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 14430
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 26000,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 19864
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 26000,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 26000,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 22100
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 16432
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 21320
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 22802
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 16432
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 21320
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 21320
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 21320
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 7678.4,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 26000,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 16926
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 26000,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 26000,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 14430
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 22100
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 19500
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 16432
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 16432
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 7312.76,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 7312.76,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 22100
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 10885.82,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 10885.82,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 21554
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 7678.4,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 16692
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 26000,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 26000,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 18980
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 14430
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 22100
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 22100
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 14300
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 7678.4,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 16692
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 26000,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 7678.4,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 7098
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 19500
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 22100
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 26000,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 26000,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 26000,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 21554
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 22100
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 16432
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 16432
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 14300
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 16692
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 16926
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 22100
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 19864
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 19864
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 16692
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 16692
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 19864
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 26000,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 16926
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 18980
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 7312.76,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 17160
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 22100
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 14300
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 14300
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 7312.76,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 26000,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 16432
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 14300
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 14300
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 10885.82,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 16692
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 26000,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 7312.76,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 7312.76,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 26000
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 22100
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 22100
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 21320
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 14300
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 10885.82,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 16926
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 18980
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 26000,
              "additional_payer_notes": "OUTPATIENT"
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 3900,
          "discounted_cash": 2535,
          "payers_information": [
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3198
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3198
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3900,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3900,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3900,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2979.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2503.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3900,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3900,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3900,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3900,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2847
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3315
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 2535
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3420.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3198
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3900,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3900,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 3432
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3900,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3900,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2979.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3900,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3900,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3155.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2538.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2503.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2538.9
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2847
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3198
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3315
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2503.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3900,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3900,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3900,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3900,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3900,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 2574
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2503.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2503.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2503.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2979.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2464.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3198
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2145
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3900,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3233.1
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2925
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3198
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2145
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3900,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 3900
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2925
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3900,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3900,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2847
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3315
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1064.7
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3315
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3315
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2145
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3233.1
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3900,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3420.3
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3900,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3315
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2538.9
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2847
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3315
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3315
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2503.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2979.6
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2847
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2164.5
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3315
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3900,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2464.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2145
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2979.6
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3315
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2925
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3900,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2164.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2464.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2464.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2464.8
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3900,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 854.1
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3315
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2979.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3900,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3900,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2847
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2164.5
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3900,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2503.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2503.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3900,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2164.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3315
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3900,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2464.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2464.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2464.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3198
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2145
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2145
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3900,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3198
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2145
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3233.1
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3900,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3900,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2503.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2503.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3900,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2538.9
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3315
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2503.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2538.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3155.1
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3315
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3900,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3900,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3900,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3900,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3900,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 850,
          "discounted_cash": 552.5,
          "payers_information": [
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 697
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 697
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 649.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 649.4
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 620.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 471.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 471.75
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 722.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 551.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 551.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 533.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 553.35
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 620.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 722.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 697
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 537.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 537.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 551.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 533.8
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 620.5
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 232.05
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 722.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 545.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 649.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 545.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 553.35
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 722.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 537.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 745.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 697
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 537.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 467.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 620.5
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 552.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 545.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 545.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 687.65
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 620.5
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 722.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 537.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 537.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 697
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 467.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 704.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 545.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 649.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 649.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 649.4
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 620.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 471.75
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 722.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 537.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 697
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 697
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 545.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 533.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 533.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 553.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 545.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 533.8
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 561
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 722.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 467.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 467.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 467.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 467.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 704.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 545.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 533.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 533.8
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 748
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 722.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 850
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 545.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 533.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 533.8
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 637.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 545.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 533.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 551.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 687.65
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 722.5
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 637.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 533.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 553.35
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 704.65
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 722.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 537.2
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 722.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 533.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 533.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 553.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 545.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 545.7
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 471.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 745.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 697
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 467.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 722.5
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 637.5
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 25000,
          "discounted_cash": 16250,
          "payers_information": [
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13750
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 20725
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 16050
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
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              "standard_charge_percentage": 76.4,
              "estimated_amount": 19100
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 16050
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 16050
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 16275
            },
            {
              "payer_name": "PARAMOUNT [555]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 21250
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 21250
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 15800
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 21925
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 19100
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 16225
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 16275
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 15700
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 15700
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 15700
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 13875
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 18750
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 20500
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13750
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 16050
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 19100
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 16050
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 20225
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 16275
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 21250
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 19100
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 16050
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 16225
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 16225
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 18250
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 22000
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 15800
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 16050
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 15700
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 21250
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 16250
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 16050
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 15700
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 20225
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 16275
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 6825
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 20500
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 20725
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 21925
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 20500
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 20500
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13750
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 16050
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 19100
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 15700
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 13875
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 21250
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 15700
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 15700
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 15700
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 16500
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 20500
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13750
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13750
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 20725
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 15800
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 15800
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 20500
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 16050
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 16050
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 21250
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 13875
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 21250
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 21250
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 25000
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 18750
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 21250
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 21250
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 15800
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 15700
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 15700
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 18250
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 18250
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 13875
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 16275
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 15800
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13750
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 18750
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 20500
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13750
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 21250
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 16225
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 18250
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 21250
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 18250
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 15800
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 15800
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 20500
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 16050
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 19100
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 15700
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 15700
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 18250
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 9750,
          "discounted_cash": 6337.5,
          "payers_information": [
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5362.5
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9750,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9750,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8287.5
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8287.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9750,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 5411.25
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 9750,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6259.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6347.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6162
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7995
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9750,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 9750,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 9750,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9750,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6347.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 5411.25
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 2661.75
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8287.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6259.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6259.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9750,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9750,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9750,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9750,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 7887.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6347.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6347.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6162
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6162
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7995
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9750,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 8550.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7995
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7995
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9750,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 8082.75
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 9750,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9750,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7449
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9750,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9750,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9750,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 5411.25
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 6337.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 8082.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6259.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6259.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6259.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7117.5
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8287.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 8550.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9750,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9750,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9750,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9750,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9750,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8287.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7995
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6259.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7449
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9750,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8287.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7449
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7117.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7117.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8287.5
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 7312.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6162
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7995
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5362.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5362.5
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 8580
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5362.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5362.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6259.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6259.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9750,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6259.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9750,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6347.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 7887.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6162
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7995
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5362.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5362.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7995
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9750,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9750,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 7312.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7449
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7449
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9750,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9750,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 9750
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6259.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7117.5
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9750,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 5411.25
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8287.5
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 9750,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 6435
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6162
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 8082.75
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9750,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6162
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9750,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9750,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6259.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9750,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8287.5
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8287.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9750,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7117.5
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9750,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8287.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8287.5
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 7312.5
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8287.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6162
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9750,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 2135.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7449
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9750,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7117.5
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8287.5
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 28000,
          "discounted_cash": 18200,
          "payers_information": [
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 23212
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 17976
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 28000,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 28000,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 18228
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 28000,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 17976
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 21392
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 28000,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 17696
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 22960
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 15400
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 6132
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 22960
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 15400
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 28000,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 23800
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 21392
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 28000,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 20440
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 21000
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 17976
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 18228
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 15540
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 22960
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 28000,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 22960
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 22960
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 15400
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 28000,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 28000,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 22652
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 17976
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 21392
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 28000,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 28000,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 17696
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 15400
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 28000,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 28000,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 28000,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 17696
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 15400
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 28000,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 18228
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 20440
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 20440
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 28000,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 23800
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 23800
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 17976
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 23800
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 24556
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 28000,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 28000,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 17696
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 17696
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 28000,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 28000,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 28000,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 28000,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 17976
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 23800
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 17976
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 17976
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 17976
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 28000,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 18200
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 21000
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 23800
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 24556
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 22960
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 28000,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 24640
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 23800
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 23212
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 28000,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 28000,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 28000,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 28000,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 18228
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 23800
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 23800
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 28000,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 28000
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 15540
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 15540
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 17696
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 17696
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 22960
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 15400
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 23212
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 28000,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 21392
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 17976
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 20440
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 28000,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 17976
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 28000,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 22960
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 15400
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 28000,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 28000,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 28000,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 28000,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 18228
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 20440
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 15540
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 23800
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 7644
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 17976
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 21392
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 28000,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 20440
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 23800
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 23800
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 18480
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 17696
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 28000,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 28000,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 28000,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 21000
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 23800
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 23800
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 21392
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 22652
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 28000,
              "additional_payer_notes": "OUTPATIENT"
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 1300,
          "discounted_cash": 845,
          "payers_information": [
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1077.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 846.3
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1300,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1105
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 834.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1300,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 949
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1066
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1300,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 975
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1066
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 993.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1300,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1300,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1051.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 834.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1300,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1051.7
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1105
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1105
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 845
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1105
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1066
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 715
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1077.7
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1105
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 821.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1066
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 715
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1300,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1300,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 834.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1300,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 721.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1105
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1105
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1300,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1105
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 834.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 993.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1300,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 846.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 821.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1140.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1066
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1077.7
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1300,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 284.7
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1105
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1300,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 834.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1300,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 846.3
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 975
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 975
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 834.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 834.6
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1105
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 821.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1300,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1300,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 821.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1140.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1066
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1300,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 993.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1300,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 993.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1300,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1300,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 846.3
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1300,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 821.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1066
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1300,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1300,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 834.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1300,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1105
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1105
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 949
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 721.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 834.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1300,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1300,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 846.3
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 949
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 821.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 821.6
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1300,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 715
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1300,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1300,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 993.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 993.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 834.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1300,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1300
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 354.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 834.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1300,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 715
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1300,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1144
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1066
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 715
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1300,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1300,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 949
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 949
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 949
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 721.5
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1300,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1105
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1105
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 834.6
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1300,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 715
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 715
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1300,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1300,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 721.5
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 858
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 821.6
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1300,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1300,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1300,
              "additional_payer_notes": "OUTPATIENT"
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 1400,
          "discounted_cash": 910,
          "payers_information": [
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 306.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1069.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1400,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1400,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1400,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1400,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 911.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 777
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1400
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 898.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 898.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 898.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 911.4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1190
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1400,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1227.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1148
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 770
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1160.6
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1400,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1400,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1400,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 898.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 898.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1400,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1400,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1400,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1022
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1190
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1190
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 898.8
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1400,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 777
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 382.2
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1190
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1148
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1400,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1400,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1400,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1400,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1148
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1400,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 911.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 911.4
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1022
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1050
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1069.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 898.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1400,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1400,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 884.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 884.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 770
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1190
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1050
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1069.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1400,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1400,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 911.4
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1022
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1022
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 777
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1190
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1132.6
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1022
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 884.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 884.8
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1400,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1400,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1400,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1190
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 770
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 770
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1400,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1232
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 898.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1069.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1400,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1050
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1400,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 884.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1148
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1400,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 898.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 898.8
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1400,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1190
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 924
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 898.8
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1400,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1160.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1227.8
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1160.6
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1190
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1069.6
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1400,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 910
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1190
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1400,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 884.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 770
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1148
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1400,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1400,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1190
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1069.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1400,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1400,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1400,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1132.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 777
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1400,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1190
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 884.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 884.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1148
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1148
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1148
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 770
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1400,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1190
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 898.8
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1022
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1190
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 770
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1400,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1400,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "Granulocytes, Pheresis, Each Unit",
      "code_information": [
        {
          "code": "PX-39000034",
          "type": "CDM"
        },
        {
          "code": "P9050",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 12542,
          "discounted_cash": 8152.3,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7926.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7926.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 10284.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8051.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12542,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 9155.66
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 6960.81
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10660.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 9582.09
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 6960.81
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 10284.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6898.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8051.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 9582.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8051.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12542,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 10146.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 8164.84
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 6960.81
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 9406.5
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 8277.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12542,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 8164.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 8164.84
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 9155.66
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10660.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 10284.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7926.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 10284.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6898.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8051.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12542,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12542,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10660.7
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10660.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12542,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 10284.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6898.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6898.1
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 10397.32
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 11036.96
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 9406.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8051.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8051.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8051.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8051.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12542,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 10146.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7926.54
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10660.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8051.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 9582.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12542,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12542,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12542,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 9155.66
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 12542
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 6960.81
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 3423.97
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10660.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 9582.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12542,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12542,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 9155.66
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10660.7
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10660.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7926.54
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 10397.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 10999.33
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6898.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 8164.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12542,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 10999.33
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 10284.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 10284.44
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10660.7
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 10397.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8051.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 9582.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12542,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 8164.84
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 9155.66
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 9406.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8051.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7926.54
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6898.1
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10660.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7926.54
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10660.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 9582.09
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 9155.66
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 8152.3
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10660.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8051.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12542,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12542,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12542,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6898.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7926.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 10284.44
            }
          ]
        }
      ]
    },
    {
      "description": "Thaw Without Wash Allogeneic Harvested Stem Cells for Transplant",
      "code_information": [
        {
          "code": "PX-81500015",
          "type": "CDM"
        },
        {
          "code": "38208",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1486,
          "discounted_cash": 965.9,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 939.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 939.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1218.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 954.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1486,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1486,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1486,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 967.39
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 817.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1218.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1486,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1486,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 967.39
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 967.39
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1084.78
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1084.78
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 824.73
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1114.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 817.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 817.3
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1114.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 954.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 954.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 967.39
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1084.78
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 824.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1486,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1202.17
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 967.39
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 824.73
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1263.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1303.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 939.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 939.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1303.22
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 817.3
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1231.89
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1263.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1135.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1135.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1486,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1486,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1263.1
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1263.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 954.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 954.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1135.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1486,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1486,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 824.73
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 965.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1218.52
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1231.89
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1263.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1218.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 954.01
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1084.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1486,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1084.78
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1263.1
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1263.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 939.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 939.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 817.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1135.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1486,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 954.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 954.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 954.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 954.01
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 405.68
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1263.1
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 980.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 939.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1218.52
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 817.3
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1231.89
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1263.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1135.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1486,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1486,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1084.78
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1263.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1486,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1202.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 939.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 817.3
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1307.68
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1263.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 954.01
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1486
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1114.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1218.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 954.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1135.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1486,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1486,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1263.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1218.52
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1218.52
            }
          ]
        }
      ]
    },
    {
      "description": "Donor Htlv-I Antibody (Htlv-I)-Abbott Sendout",
      "code_information": [
        {
          "code": "PX-81500029",
          "type": "CDM"
        },
        {
          "code": "86687",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 32,
          "discounted_cash": 20.8,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 20.22
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 17.6
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 26.53
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 28.16
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 24.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 34.09,
              "estimated_amount": 34.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 24.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 20.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 34.09,
              "estimated_amount": 34.09
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 23.36
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 17.76
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 32
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 20.8
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 21.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 28.06
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 17.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 20.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 24.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 34.09,
              "estimated_amount": 34.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 34.09,
              "estimated_amount": 34.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 34.09,
              "estimated_amount": 34.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 25.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 20.54
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 27.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 34.09,
              "estimated_amount": 34.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 34.09,
              "estimated_amount": 34.09
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 27.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 20.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 24.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 34.09,
              "estimated_amount": 34.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 20.83
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 20.83
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 23.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 28.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 26.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 26.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 17.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 20.22
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 26.53
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 8.74
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 27.2
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 27.2
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 27.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 20.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 34.09,
              "estimated_amount": 34.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 20.83
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 27.2
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 27.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 20.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 20.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 26.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 17.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 34.09,
              "estimated_amount": 34.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 34.09,
              "estimated_amount": 34.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 25.89
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 17.76
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 17.76
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 27.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 20.54
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 23.36
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 26.53
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 27.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 20.22
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 17.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 20.54
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 27.2
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 27.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 26.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 20.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 20.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 20.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 24.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 24.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 20.83
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 23.36
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 27.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 20.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 20.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 34.09,
              "estimated_amount": 34.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 34.09,
              "estimated_amount": 34.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 34.09,
              "estimated_amount": 34.09
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 26.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 17.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 26.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 26.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 26.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 34.09,
              "estimated_amount": 34.09
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 23.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 20.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 20.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 34.09,
              "estimated_amount": 34.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 34.09,
              "estimated_amount": 34.09
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 23.36
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 17.76
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 20.22
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 17.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 20.83
            }
          ],
          "minimum": 34.09,
          "maximum": 34.09
        }
      ]
    },
    {
      "description": "Recipient Hla I Typing 1 Locus Lr Sendout",
      "code_information": [
        {
          "code": "PX-30000249",
          "type": "CDM"
        },
        {
          "code": "81373",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 426,
          "discounted_cash": 276.9,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 269.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 269.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 349.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 234.3
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 127.43,
              "estimated_amount": 127.43
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 127.43,
              "estimated_amount": 127.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 273.49
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 277.33
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 310.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 236.43
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 236.43
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 362.1
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 281.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 269.23
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 234.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 127.43,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 128.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 127.43,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 133.8,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 362.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 269.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 373.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 349.32
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 127.43,
              "estimated_amount": 127.43
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 127.43,
              "estimated_amount": 127.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 325.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 477.86,
              "estimated_amount": 477.86
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 310.98
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 362.1
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 362.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 273.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 477.86,
              "estimated_amount": 477.86
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 310.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 426
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 319.5
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 132.48,
              "estimated_amount": 132.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 373.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 234.3
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 353.15
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 127.43,
              "estimated_amount": 127.43
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 362.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 273.49
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 344.63
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 277.33
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 310.98
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 127.43,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 127.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 477.86,
              "estimated_amount": 477.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 477.86,
              "estimated_amount": 477.86
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 310.98
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 116.3
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 362.1
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 362.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 349.32
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 127.43,
              "estimated_amount": 127.43
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 127.43,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 133.8,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 362.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 127.43,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 128.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 127.43,
              "estimated_amount": 127.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 477.86,
              "estimated_amount": 477.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 477.86,
              "estimated_amount": 477.86
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 236.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 273.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 477.86,
              "estimated_amount": 477.86
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 236.43
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 234.3
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 132.48,
              "estimated_amount": 132.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 273.49
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 319.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 477.86,
              "estimated_amount": 477.86
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 362.1
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 362.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 269.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 269.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 349.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 349.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 269.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 273.49
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 127.43,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 133.8,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 426,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 477.86,
              "estimated_amount": 477.86
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 344.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 273.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 273.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 477.86,
              "estimated_amount": 477.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 477.86,
              "estimated_amount": 477.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 269.23
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 353.15
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 362.1
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 319.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 234.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 127.43,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 128.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 426,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 273.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 325.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 477.86,
              "estimated_amount": 477.86
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 310.98
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 362.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 273.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 325.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 325.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 477.86,
              "estimated_amount": 477.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 477.86,
              "estimated_amount": 477.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 477.86,
              "estimated_amount": 477.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 477.86,
              "estimated_amount": 477.86
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 277.33
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 234.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 234.3
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 127.43,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 133.8,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 426,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 353.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 273.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 477.86,
              "estimated_amount": 477.86
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 127.43,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 127.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 127.43,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 127.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 362.1
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 132.48,
              "estimated_amount": 132.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 273.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 325.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 277.33
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 277.33
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 362.1
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 276.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 349.32
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 374.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 325.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 349.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 349.32
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 127.43,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 128.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 127.43,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 128.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            }
          ],
          "minimum": 127.43,
          "maximum": 477.86
        }
      ]
    },
    {
      "description": "Recipient Hla Class II Typing High Resolution One Locus Ea Sendout",
      "code_information": [
        {
          "code": "PX-30000254",
          "type": "CDM"
        },
        {
          "code": "81382",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 990,
          "discounted_cash": 643.5,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 625.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 625.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 625.68
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 544.5
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 123.68,
              "estimated_amount": 123.68
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 123.68,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 129.86,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 635.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 756.36
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 800.91
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 644.49
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 722.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 635.58
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 722.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 123.68,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 124.92,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 811.8
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 123.68,
              "estimated_amount": 123.68
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 742.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 463.8,
              "estimated_amount": 463.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 635.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 635.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 644.49
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 722.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 811.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 544.5
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 123.68,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 124.92,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 625.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 811.8
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 147.13,
              "estimated_amount": 147.13
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 841.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 756.36
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 549.45
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 742.5
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 653.4
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 841.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 756.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 463.8,
              "estimated_amount": 463.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 463.8,
              "estimated_amount": 463.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 800.91
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 549.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 811.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 123.68,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 124.92,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 123.68,
              "estimated_amount": 123.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 868.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 811.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 544.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 123.68,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 124.92,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 990,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 635.58
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 841.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 756.36
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 990
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 549.45
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 841.5
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 147.13,
              "estimated_amount": 147.13
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 123.68,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 129.86,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 841.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 544.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 544.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 123.68,
              "estimated_amount": 123.68
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 123.68,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 129.86,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 123.68,
              "estimated_amount": 123.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 463.8,
              "estimated_amount": 463.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 463.8,
              "estimated_amount": 463.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 549.45
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 841.5
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 841.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 756.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 635.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 463.8,
              "estimated_amount": 463.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 463.8,
              "estimated_amount": 463.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 644.49
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 643.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 625.68
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 820.71
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 841.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 868.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 635.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 463.8,
              "estimated_amount": 463.8
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 722.7
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 147.13,
              "estimated_amount": 147.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 463.8,
              "estimated_amount": 463.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 463.8,
              "estimated_amount": 463.8
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 841.5
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 841.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 625.68
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 123.68,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 129.86,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 811.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 544.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 123.68,
              "estimated_amount": 123.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 463.8,
              "estimated_amount": 463.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 644.49
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 123.68,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 123.68,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 123.68,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 123.68,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 270.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 635.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 635.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 635.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 463.8,
              "estimated_amount": 463.8
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 722.7
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 722.7
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 841.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 625.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 811.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 544.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 820.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 625.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 811.8
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 123.68,
              "estimated_amount": 123.68
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 871.2
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 990,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 841.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 841.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 463.8,
              "estimated_amount": 463.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 463.8,
              "estimated_amount": 463.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 463.8,
              "estimated_amount": 463.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 644.49
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 123.68,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 123.68,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 123.68,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 124.92,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 820.71
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 990,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 841.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 756.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 635.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 635.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 463.8,
              "estimated_amount": 463.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 463.8,
              "estimated_amount": 463.8
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 742.5
            }
          ],
          "minimum": 123.68,
          "maximum": 463.8
        }
      ]
    },
    {
      "description": "RECIPIENT HEPATITIS B CORE ANTIBODY (HBc)-ABBOTT SENDOUT",
      "code_information": [
        {
          "code": "PX-30200720",
          "type": "CDM"
        },
        {
          "code": "86704",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 45,
          "discounted_cash": 29.25,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 20.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 20.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 24.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 24.75
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 38.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 23.68,
              "estimated_amount": 23.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.19,
              "estimated_amount": 45.19
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 32.85
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 12.05,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 12.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 29.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 20.25
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 22.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 20.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 20.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 36.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 36.9
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.05,
              "estimated_amount": 12.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.19,
              "estimated_amount": 45.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.19,
              "estimated_amount": 45.19
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.61,
              "estimated_amount": 17.61
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 33.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.19,
              "estimated_amount": 45.19
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 12.05,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 12.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 38.25
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 29.7
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.05,
              "estimated_amount": 12.05
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 12.05,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 12.65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 12.05,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 12.65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 36.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 24.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 23.68,
              "estimated_amount": 23.68
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 32.85
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 38.25
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 38.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.19,
              "estimated_amount": 45.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.19,
              "estimated_amount": 45.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 22.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 22.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 22.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 36.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 24.75
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 12.05,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 12.65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 20.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 36.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 24.75
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 45,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 38.25
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 38.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.19,
              "estimated_amount": 45.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.19,
              "estimated_amount": 45.19
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 32.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.63,
              "estimated_amount": 24.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.63,
              "estimated_amount": 24.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.19,
              "estimated_amount": 45.19
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 38.25
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.61,
              "estimated_amount": 17.61
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 36.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 12.05,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 12.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 12.05,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 12.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.05,
              "estimated_amount": 12.05
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 22.5
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 12.05,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 12.65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.05,
              "estimated_amount": 12.05
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.05,
              "estimated_amount": 12.05
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.05,
              "estimated_amount": 12.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.63,
              "estimated_amount": 24.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 23.68,
              "estimated_amount": 23.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.19,
              "estimated_amount": 45.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.19,
              "estimated_amount": 45.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.19,
              "estimated_amount": 45.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 22.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 38.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 20.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 24.75
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 22.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 12.05,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 12.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.63,
              "estimated_amount": 24.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.63,
              "estimated_amount": 24.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.19,
              "estimated_amount": 45.19
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 45,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 33.75
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 32.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10.34,
              "estimated_amount": 10.34
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 38.25
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 38.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.63,
              "estimated_amount": 24.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.19,
              "estimated_amount": 45.19
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10.34,
              "estimated_amount": 10.34
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10.34,
              "estimated_amount": 10.34
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 45,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 20.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 20.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.19,
              "estimated_amount": 45.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.63,
              "estimated_amount": 24.63
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 22.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 36.9
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 38.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 20.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 36.9
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.05,
              "estimated_amount": 12.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.63,
              "estimated_amount": 24.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.63,
              "estimated_amount": 24.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 23.68,
              "estimated_amount": 23.68
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 32.85
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 32.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 38.25
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 38.25
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 33.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.63,
              "estimated_amount": 24.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 23.68,
              "estimated_amount": 23.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.19,
              "estimated_amount": 45.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 22.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 22.5
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 12.05,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 12.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 25,
              "estimated_amount": 11.25
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 38.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 24.75
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 12.05,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 12.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.61,
              "estimated_amount": 17.61
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 39.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.63,
              "estimated_amount": 24.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 23.68,
              "estimated_amount": 23.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.63,
              "estimated_amount": 24.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.19,
              "estimated_amount": 45.19
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10.34,
              "estimated_amount": 10.34
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 12.05,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 12.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            }
          ],
          "minimum": 10.34,
          "maximum": 45.19
        }
      ]
    },
    {
      "description": "Excision Malignant Lesion Scalp Neck Hand Feet Genitalia 2.1-3 Cm",
      "code_information": [
        {
          "code": "PX-51000127",
          "type": "CDM"
        },
        {
          "code": "11623",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 4205,
          "discounted_cash": 2733.25,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2657.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3448.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3448.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2312.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3212.62
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3574.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3212.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4205,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4205,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4205,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4205,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3574.25
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3485.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2657.56
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3574.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2699.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2737.46
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2333.78
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 2775.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4205,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3069.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3153.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2312.75
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3574.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2657.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3448.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2737.46
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2333.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2699.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2699.61
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3574.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2312.75
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3485.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3448.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3448.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3212.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4205,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4205,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3574.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4205,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4205,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 4205
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3574.25
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 2733.25
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3574.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3687.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3448.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2312.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2657.56
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3574.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3212.62
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3574.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2699.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3212.62
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3069.65
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2333.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3687.79
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2312.75
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3485.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2699.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2699.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2699.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4205,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2333.78
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1147.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3212.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4205,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4205,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2737.46
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3153.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3448.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2657.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2699.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3401.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2737.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3401.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4205,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3069.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2657.56
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2312.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2657.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3448.1
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 3700.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2699.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4205,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3069.65
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3069.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2699.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2699.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2699.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4205,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4205,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2737.46
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3069.65
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3574.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2657.56
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3574.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4205,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2312.75
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3153.75
            }
          ]
        }
      ]
    },
    {
      "description": "\"Gauze Impregnated Xeroform 2\"\" X 2\"\" Patch\"",
      "code_information": [
        {
          "code": "PX-CHKN433400",
          "type": "CDM"
        },
        {
          "code": "A6222",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1.3,
          "discounted_cash": 0.84,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.3,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.3,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.3,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.3,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1.3,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.3,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.3,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.07
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.3,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1.14
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.3,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.07
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.3,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.72
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.3,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.07
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.3,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.3,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.3,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.72
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1.3,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.3,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.72
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.3,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.3,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.3,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.99
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.3,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.3,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.72
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.3,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.3,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.3,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.3,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.3,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.3,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.07
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.72
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.3,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.3,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.3,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1.14
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.3,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.3,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.3,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.3,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.3,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.99
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.72
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.86
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.3,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.3,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.3,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.3,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.72
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.3,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.08
            }
          ]
        }
      ]
    },
    {
      "description": "Thiopurine S-Methyltransferase Sendout",
      "code_information": [
        {
          "code": "PX-30101546",
          "type": "CDM"
        },
        {
          "code": "84433",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 415,
          "discounted_cash": 269.75,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 186.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 228.25
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 207.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 415,
              "additional_payer_notes": "REFERENCE LAB"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 259.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 415,
              "additional_payer_notes": "REFERENCE LAB"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 83.14,
              "estimated_amount": 83.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 83.14,
              "estimated_amount": 83.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 207.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 352.75
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 352.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 186.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 228.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 228.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 186.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 22.17,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 22.39,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 22.17,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 22.39,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 259.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 259.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 259.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 415,
              "additional_payer_notes": "REFERENCE LAB"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 22.17,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 22.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.41,
              "estimated_amount": 15.41
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 25,
              "estimated_amount": 103.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 259.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 83.14,
              "estimated_amount": 83.14
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.17,
              "estimated_amount": 22.17
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 311.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 340.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 186.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 186.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 186.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 22.17,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 22.39,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 83.14,
              "estimated_amount": 83.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 83.14,
              "estimated_amount": 83.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 207.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 352.75
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 269.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 259.38
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 207.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 352.75
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.17,
              "estimated_amount": 22.17
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 22.17,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 23.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 340.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 340.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 228.25
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 352.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 207.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 302.95
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.17,
              "estimated_amount": 22.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 259.38
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 352.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 228.25
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 207.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.17,
              "estimated_amount": 22.17
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 22.17,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 23.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 186.75
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 207.5
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 22.17,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 23.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.17,
              "estimated_amount": 22.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 83.14,
              "estimated_amount": 83.14
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 22.17,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 22.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 415,
              "additional_payer_notes": "REFERENCE LAB"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 83.14,
              "estimated_amount": 83.14
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 352.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 186.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 340.3
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.17,
              "estimated_amount": 22.17
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 352.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 186.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 415,
              "additional_payer_notes": "REFERENCE LAB"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 22.17,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 23.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 365.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 207.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 302.95
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.41,
              "estimated_amount": 15.41
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 352.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 311.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 259.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 83.14,
              "estimated_amount": 83.14
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 302.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 228.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.17,
              "estimated_amount": 22.17
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.17,
              "estimated_amount": 22.17
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 340.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 340.3
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 311.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 259.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 259.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 259.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 83.14,
              "estimated_amount": 83.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 83.14,
              "estimated_amount": 83.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 83.14,
              "estimated_amount": 83.14
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 302.95
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 22.17,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 22.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 259.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 83.14,
              "estimated_amount": 83.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 207.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 340.3
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 352.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 22.17,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 22.39,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 228.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 83.14,
              "estimated_amount": 83.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 83.14,
              "estimated_amount": 83.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 207.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.41,
              "estimated_amount": 15.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 83.14,
              "estimated_amount": 83.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 83.14,
              "estimated_amount": 83.14
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 302.95
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.41,
              "estimated_amount": 15.41
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 352.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 186.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 340.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 22.17,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 22.39,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.17,
              "estimated_amount": 22.17
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 352.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 415,
              "additional_payer_notes": "REFERENCE LAB"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 83.14,
              "estimated_amount": 83.14
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 302.95
            }
          ],
          "minimum": 15.41,
          "maximum": 83.14
        }
      ]
    },
    {
      "description": "\"New Image Tape Border Pre Cut 1.25\"\" 2.25\"\" Flange\"",
      "code_information": [
        {
          "code": "PX-CHHO13906",
          "type": "CDM"
        },
        {
          "code": "A4407",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.83,
          "discounted_cash": 0.54,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.61
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.71
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.61
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.61
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 0.83,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 0.83,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.61
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.67
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.61
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.69
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.68
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.67
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.68
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.69
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.71
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.68
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.68
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.68
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.71
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.71
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.61
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.71
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.71
            }
          ]
        }
      ]
    },
    {
      "description": "Dual Lead Pns Extensa Sprint Kit",
      "code_information": [
        {
          "code": "PX-27800274",
          "type": "CDM"
        },
        {
          "code": "C1778",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 24981,
          "discounted_cash": 16237.65,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 16362.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 16362.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 20484.42
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 24981,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 24981,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 19085.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 16012.82
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 16262.63
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 13864.46
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 21233.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 15238.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 15238.41
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 18236.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 21908.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 20484.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13739.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13739.55
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 21983.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 20484.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13739.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 24981,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 24981,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 21233.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 16012.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 15238.41
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 13864.46
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 13864.46
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 21233.85
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 6819.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 16012.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 16012.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 16012.82
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 20709.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 24981,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 19085.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 16012.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 15238.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 15962.86
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 16262.63
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 21233.85
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 21233.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 15962.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 15238.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 15238.41
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 18236.13
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 21233.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 20484.42
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 24981,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 24981,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 19085.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 16012.82
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 18236.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 15962.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 15962.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 15238.41
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 24981,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 13864.46
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 16237.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 20484.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13739.55
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 20709.25
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 21233.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 16362.56
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13739.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 16012.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 15238.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 16262.63
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 18236.13
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 24981
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 24981,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 18735.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 16012.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 19085.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 20209.63
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 21233.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 21233.85
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 16487.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 16362.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 20484.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 20484.42
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 24981,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 24981,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 16362.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 15238.41
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 24981,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 16262.63
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 18236.13
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 21233.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13739.55
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 24981,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 24981,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 16362.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 20484.42
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 24981,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 24981,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 21233.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 16012.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 16012.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 19085.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 19085.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 15238.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 15238.41
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 18735.75
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 24981,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 15238.41
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 21233.85
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 21233.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13739.55
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 24981,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 24981,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 5470.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 16012.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 15238.41
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 18236.13
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 24981,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 21233.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 16262.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 21908.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 16362.56
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 20709.25
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 24981,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 24981,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 20209.63
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 24981,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 16362.56
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 24981,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 18735.75
            }
          ]
        }
      ]
    },
    {
      "description": "\"Drsg Wound Non Adhesive Superabsorber 6\"\" X 8\"\" Lf\"",
      "code_information": [
        {
          "code": "PX-CH51422571",
          "type": "CDM"
        },
        {
          "code": "A6197",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 3.93,
          "discounted_cash": 2.55,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.48
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.93,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.93,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.93,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.56
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3.93,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.93,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.34
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 2.59
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.22
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.16
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.93,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.93,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.93,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.93,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.93,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.93,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3.18
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.48
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.48
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.16
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.93,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 3.46
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.52
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.93,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.48
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.22
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.93,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.93,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.93,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.93,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3.18
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 3.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.93,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.93,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.93,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.87
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.22
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.16
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.93,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.93,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.93,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.34
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.22
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.16
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3.26
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.48
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.93,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.93,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.93,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.93,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.34
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1.07
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.93,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.22
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.93,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.93,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.93,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.93,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.93,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.93,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.93,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3.45
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.93,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.93,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.56
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.87
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.52
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.87
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.87
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.87
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.93,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.56
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.34
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3.93,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3.26
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.93,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "Baza Cream Antifungal Barrier 2 Oz Lf",
      "code_information": [
        {
          "code": "PX-CH621611",
          "type": "CDM"
        },
        {
          "code": "A6250",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 10.23,
          "discounted_cash": 6.65,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.82
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.82
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6.66
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 7.67
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 8.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.47
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.63
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 8.48
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.39
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.63
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 10.23,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 10.23,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 10.23,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 5.68
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 10.23,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.47
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.39
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 5.68
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 10.23,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.57
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 8.28
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7.47
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7.47
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.7
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 8.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.47
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.39
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 10.23,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 8.28
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 5.68
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.7
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 10.23,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.47
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.63
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.7
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.7
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 7.67
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6.66
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7.47
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 10.23,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.7
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7.47
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 10.23,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 10.23,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 7.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6.66
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7.47
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 10.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 6.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7.47
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 2.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 8.97
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 10.23,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.39
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.63
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 10.23,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 8.48
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.57
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6.66
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 5.68
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.63
            }
          ]
        }
      ]
    },
    {
      "description": "HC Cryo Pooling",
      "code_information": [
        {
          "code": "PX-30000049",
          "type": "CDM"
        },
        {
          "code": "86965",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2117,
          "discounted_cash": 1376.05,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1856.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1337.94
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 463.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1359.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1617.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 589.69,
              "estimated_amount": 589.69
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1174.94
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.35,
              "estimated_amount": 16.35
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1799.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1359.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 589.69,
              "estimated_amount": 589.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 589.69,
              "estimated_amount": 589.69
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1545.41
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1799.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1337.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1735.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1735.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1735.94
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1754.99
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 145.92,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2117,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1359.11
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1799.45
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.35,
              "estimated_amount": 16.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 589.69,
              "estimated_amount": 589.69
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1545.41
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1174.94
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 145.92,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1397.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1337.94
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1164.35
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 145.92,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 150.57,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1799.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1359.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1359.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1359.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 589.69,
              "estimated_amount": 589.69
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1378.17
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1174.94
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1799.45
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1799.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1378.17
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1799.45
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1587.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1587.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1337.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1735.94
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 150.57,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1754.99
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 153.22,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1856.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1337.94
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1164.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 150.57,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 145.92,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 145.92,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 589.69,
              "estimated_amount": 589.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1617.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 589.69,
              "estimated_amount": 589.69
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1545.41
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 145.92,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 153.22,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1164.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1164.35
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2117,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1359.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 589.69,
              "estimated_amount": 589.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 589.69,
              "estimated_amount": 589.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 589.69,
              "estimated_amount": 589.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1617.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1359.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1617.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 589.69,
              "estimated_amount": 589.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 589.69,
              "estimated_amount": 589.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 589.69,
              "estimated_amount": 589.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 589.69,
              "estimated_amount": 589.69
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1378.17
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1712.65
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 1376.05
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1799.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1164.35
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 145.92,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2117,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1587.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1735.94
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1164.35
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1799.45
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 577.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 589.69,
              "estimated_amount": 589.69
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1545.41
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 145.92,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1337.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1735.94
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 150.57,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1359.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1378.17
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1712.65
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1545.41
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1174.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1337.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1337.94
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1754.99
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 153.22,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1799.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1359.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1359.11
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2117
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 145.92,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1617.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1617.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 589.69,
              "estimated_amount": 589.69
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1545.41
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1799.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1735.94
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1164.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 150.57,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1799.45
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1862.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1359.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 589.69,
              "estimated_amount": 589.69
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1378.17
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1799.45
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1799.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1735.94
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 153.22,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 145.92,
              "additional_payer_notes": "OPPS APC"
            }
          ],
          "minimum": 16.35,
          "maximum": 589.69
        }
      ]
    },
    {
      "description": "HC Platelet Pooling",
      "code_information": [
        {
          "code": "PX-30000050",
          "type": "CDM"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 3075,
          "discounted_cash": 1998.75,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1943.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1943.4
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2549.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2349.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2001.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 1931.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2001.83
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2487.68
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2244.75
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2613.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2696.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 1931.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 1931.1
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2244.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2349.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2001.83
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2521.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2521.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1943.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1943.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2521.5
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2613.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2349.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 1931.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 1931.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 1995.68
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2613.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2306.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 1931.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1706.63
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1706.63
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2613.75
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 1998.75
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2613.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1943.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1943.4
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2613.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1974.15
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1706.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1974.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 1995.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2001.83
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2244.75
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2244.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 3075
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1691.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2349.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2349.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1974.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 1995.68
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1706.63
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2613.75
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 2029.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1974.15
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2613.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1943.4
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2306.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1974.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 1931.1
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2613.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2001.83
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2613.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1974.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1974.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 1931.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2487.68
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2306.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2521.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1691.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2696.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1943.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1691.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1974.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 1931.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 1931.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 1931.1
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 839.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1974.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1974.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 1931.1
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2244.75
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2613.75
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2613.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1691.25
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2549.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2521.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1691.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1691.25
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2549.18
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 2706
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 1995.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1974.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1974.15
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2244.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2521.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2521.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1691.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2349.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 1931.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2521.5
            }
          ]
        }
      ]
    },
    {
      "description": "HC Rheumatoid Factor Qualitative",
      "code_information": [
        {
          "code": "PX-30200616",
          "type": "CDM"
        },
        {
          "code": "86430",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 50,
          "discounted_cash": 32.5,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
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              "standard_charge_percentage": 87.7,
              "estimated_amount": 43.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 43.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 23.03,
              "estimated_amount": 23.03
            },
            {
              "payer_name": "UHC [625]",
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              "methodology": "fee schedule",
              "standard_charge_dollar": 23.03,
              "estimated_amount": 23.03
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 42.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 32.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 40.45
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
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              "standard_charge_percentage": 66,
              "estimated_amount": 33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 31.6
            },
            {
              "payer_name": "MMO [485]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 31.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 31.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 38.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
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              "standard_charge_dollar": 23.03,
              "estimated_amount": 23.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 23.03,
              "estimated_amount": 23.03
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 36.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 23.03,
              "estimated_amount": 23.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 23.03,
              "estimated_amount": 23.03
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 50
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 42.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 42.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 31.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 23.03,
              "estimated_amount": 23.03
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 42.5
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 13.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 32.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 23.03,
              "estimated_amount": 23.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 23.03,
              "estimated_amount": 23.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 32.55
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 27.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 27.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 31.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 41
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 27.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 41.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 23.03,
              "estimated_amount": 23.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 23.03,
              "estimated_amount": 23.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 32.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 32.55
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 36.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 36.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 36.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 32.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 32.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 23.03,
              "estimated_amount": 23.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 23.03,
              "estimated_amount": 23.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 40.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 31.6
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 41.45
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 41.45
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 42.5
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 37.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 41
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 27.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 27.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 32.55
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 42.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 38.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 31.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 38.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 32.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 32.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 27.75
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 42.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 38.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 32.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 32.1
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 36.5
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 42.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 41
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 27.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 27.5
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 44
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 42.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 32.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 32.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 23.03,
              "estimated_amount": 23.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 23.03,
              "estimated_amount": 23.03
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 27.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 23.03,
              "estimated_amount": 23.03
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 42.5
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 42.5
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 42.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 32.55
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 36.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 32.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 38.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 23.03,
              "estimated_amount": 23.03
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 37.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 31.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 32.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 38.2
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 37.5
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 32.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 41
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 27.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 27.5
            }
          ],
          "minimum": 23.03,
          "maximum": 23.03
        }
      ]
    },
    {
      "description": "HC Susceptibility Mic Each per Plate So",
      "code_information": [
        {
          "code": "PX-30600296",
          "type": "CDM"
        },
        {
          "code": "87186",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 503,
          "discounted_cash": 326.95,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 317.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 412.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 322.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 32.44,
              "estimated_amount": 32.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 327.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 327.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 32.44,
              "estimated_amount": 32.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 32.44,
              "estimated_amount": 32.44
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 503
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 427.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 412.46
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 8.65,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 8.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 276.65
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 503,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 322.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 32.44,
              "estimated_amount": 32.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 32.44,
              "estimated_amount": 32.44
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 279.17
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 427.55
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 427.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 412.46
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 416.99
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.65,
              "estimated_amount": 8.65
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.28,
              "estimated_amount": 11.28
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 427.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 317.9
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 377.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 322.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 32.44,
              "estimated_amount": 32.44
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 367.19
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.28,
              "estimated_amount": 11.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 384.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 384.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 32.44,
              "estimated_amount": 32.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 32.44,
              "estimated_amount": 32.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 32.44,
              "estimated_amount": 32.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 327.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 406.93
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 367.19
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 137.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 276.65
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 276.65
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.65,
              "estimated_amount": 8.65
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.65,
              "estimated_amount": 8.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 317.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 412.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 412.46
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 416.99
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 503,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 427.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 322.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 32.44,
              "estimated_amount": 32.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 32.44,
              "estimated_amount": 32.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 406.93
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 8.65,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 8.65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 377.25
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 427.55
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 427.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 384.29
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 367.19
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 367.19
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 427.55
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 331.98
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 276.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 8.65,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 8.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 8.65,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 8.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 317.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 412.46
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 276.65
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 276.65
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.65,
              "estimated_amount": 8.65
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 8.65,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 9.08,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 322.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 384.29
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 367.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 384.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 322.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 32.44,
              "estimated_amount": 32.44
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 367.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 412.46
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 8.65,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 8.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 503,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 427.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 317.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 317.9
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 416.99
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.65,
              "estimated_amount": 8.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 384.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 322.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 32.44,
              "estimated_amount": 32.44
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 8.65,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 9.08,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 32.44,
              "estimated_amount": 32.44
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 279.17
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 427.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 32.44,
              "estimated_amount": 32.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 32.44,
              "estimated_amount": 32.44
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 279.17
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.28,
              "estimated_amount": 11.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 441.13
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 8.65,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 9.08,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 317.9
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 8.65,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 9.08,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 322.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 327.45
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 326.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 322.93
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 8.65,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 8.65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 427.55
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 427.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 317.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 441.13
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.65,
              "estimated_amount": 8.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 412.46
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 442.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 322.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 322.93
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 8.65,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 8.65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 279.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 32.44,
              "estimated_amount": 32.44
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 427.55
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.65,
              "estimated_amount": 8.65
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 427.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 322.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 327.45
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 377.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 276.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 8.65,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 8.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            }
          ],
          "minimum": 8.65,
          "maximum": 32.44
        }
      ]
    },
    {
      "description": "HC Allergy Test Perq and Ic Drug or Biological",
      "code_information": [
        {
          "code": "PX-92000002",
          "type": "CDM"
        },
        {
          "code": "95018",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 247,
          "discounted_cash": 160.55,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 156.1
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 209.95
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 209.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 158.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 158.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 247,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 180.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 188.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 158.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 247,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 247,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 247,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 199.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 156.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 202.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 202.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 202.54
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 35.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 156.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 156.1
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 204.76
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 36.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 188.71
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 199.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 158.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 247,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 209.95
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 163.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 156.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 202.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 202.54
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 135.85
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 185.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 135.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 35.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 35.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 247,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 247,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 247,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 137.09
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 67.43
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 180.31
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 247,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 209.95
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 135.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 247,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 160.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 160.8
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 180.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 209.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 188.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 188.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 247,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 247
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 209.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 156.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 156.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 135.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 135.85
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 36.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 209.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 216.62
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 35.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 204.76
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 247,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 247,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 180.31
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 209.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 247,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 209.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 135.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 202.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 202.54
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 188.71
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 217.36
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 137.09
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 209.95
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 160.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 247,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 160.8
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 180.31
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 209.95
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 185.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 216.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 156.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 202.54
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 204.76
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 247,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 209.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 158.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 158.57
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 160.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 160.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 158.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 158.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 247,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 137.09
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 137.09
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 209.95
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 247,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 158.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 158.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 158.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 188.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 247,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 247,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 180.31
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 247,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 158.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 247,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 247,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 209.95
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 185.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 135.85
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 36.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 35.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 36.75,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "Catheter External Male Itermediate Long Seal 35mm",
      "code_information": [
        {
          "code": "PX-CHMN5490",
          "type": "CDM"
        },
        {
          "code": "A4349",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2.53,
          "discounted_cash": 1.64,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2.05
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.07
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.62
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.62
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.07
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.39
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.62
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.85
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.85
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.39
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.15
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.85
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.07
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.15
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.39
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.4
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.15
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2.53
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.69
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.39
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.4
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.07
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.39
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2.1
            }
          ]
        }
      ]
    },
    {
      "description": "Dilute Russell Viper Venom Drvvt Sendout",
      "code_information": [
        {
          "code": "PX-30500144",
          "type": "CDM"
        },
        {
          "code": "85613",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 86,
          "discounted_cash": 55.9,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 38.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 47.3
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.58,
              "estimated_amount": 9.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.93,
              "estimated_amount": 35.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 43
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 73.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.22,
              "estimated_amount": 8.22
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 73.1
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 64.5
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 73.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 70.52
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.58,
              "estimated_amount": 9.58
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 86,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 64.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 47.3
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 9.58,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 10.06,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.93,
              "estimated_amount": 35.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.93,
              "estimated_amount": 35.93
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 62.78
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 9.58,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 9.58,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.43,
              "estimated_amount": 8.43
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 64.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.65,
              "estimated_amount": 12.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.93,
              "estimated_amount": 35.93
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.22,
              "estimated_amount": 8.22
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 9.58,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 9.58,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.22,
              "estimated_amount": 8.22
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 73.1
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 73.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 38.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 38.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 70.52
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 73.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.16,
              "estimated_amount": 13.16
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 62.78
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 9.58,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 9.58,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.65,
              "estimated_amount": 12.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.16,
              "estimated_amount": 13.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 38.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 38.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 47.3
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 73.1
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 9.58,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 10.06,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 9.58,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 10.06,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.65,
              "estimated_amount": 12.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.93,
              "estimated_amount": 35.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.93,
              "estimated_amount": 35.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.93,
              "estimated_amount": 35.93
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.16,
              "estimated_amount": 13.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.93,
              "estimated_amount": 35.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 38.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 70.52
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 47.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 9.58,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 9.68,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.58,
              "estimated_amount": 9.58
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 9.58,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 9.68,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 86,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 38.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 47.3
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 43
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.58,
              "estimated_amount": 9.58
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 73.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.16,
              "estimated_amount": 13.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.93,
              "estimated_amount": 35.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 43
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.22,
              "estimated_amount": 8.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.65,
              "estimated_amount": 12.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 43
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 47.3
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 43
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 70.52
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 70.52
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 47.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 9.58,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 9.68,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.16,
              "estimated_amount": 13.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.93,
              "estimated_amount": 35.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.93,
              "estimated_amount": 35.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.93,
              "estimated_amount": 35.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 43
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 73.1
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.43,
              "estimated_amount": 8.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.16,
              "estimated_amount": 13.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.16,
              "estimated_amount": 13.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.65,
              "estimated_amount": 12.65
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 62.78
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 9.58,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 9.68,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 38.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 70.52
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 9.58,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 9.68,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 43
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.58,
              "estimated_amount": 9.58
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 9.58,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 10.06,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 75.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.16,
              "estimated_amount": 13.16
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 62.78
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 73.1
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 73.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.16,
              "estimated_amount": 13.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.16,
              "estimated_amount": 13.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.93,
              "estimated_amount": 35.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.93,
              "estimated_amount": 35.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.93,
              "estimated_amount": 35.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 43
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 73.1
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.58,
              "estimated_amount": 9.58
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 86,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 73.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 38.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 70.52
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.58,
              "estimated_amount": 9.58
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.43,
              "estimated_amount": 8.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.65,
              "estimated_amount": 12.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 43
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 62.78
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 25,
              "estimated_amount": 21.5
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 55.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.16,
              "estimated_amount": 13.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.16,
              "estimated_amount": 13.16
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 73.1
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 56.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.93,
              "estimated_amount": 35.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.93,
              "estimated_amount": 35.93
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 62.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 38.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 70.52
            }
          ],
          "minimum": 8.22,
          "maximum": 35.93
        }
      ]
    },
    {
      "description": "\"Ice Pack Instant 5-1-2\"\" X 7\"\" Cardinal\"",
      "code_information": [
        {
          "code": "PX-CH5520204",
          "type": "CDM"
        },
        {
          "code": "A9270",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2.5,
          "discounted_cash": 1.62,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.38
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.63
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.63
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.63
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.83
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2.07
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 2.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.91
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.39
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.58
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.58
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.91
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.05
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.39
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.83
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.39
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.39
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2.5,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.88
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.58
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.83
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.38
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2.02
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.63
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.83
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2.5,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.63
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2.07
            }
          ]
        }
      ]
    },
    {
      "description": "Feeding Adapter Enfit, Lf Non-Sterile",
      "code_information": [
        {
          "code": "PX-CH55F00071ED",
          "type": "CDM"
        },
        {
          "code": "A9900",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.53,
          "discounted_cash": 0.34,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.43
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.4
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.4
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.43
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.43
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.43
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.43
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.43
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.43
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.43
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.29
            }
          ]
        }
      ]
    },
    {
      "description": "Wrap Conforming Gauze Roll 1 in X 75 Sterile Conform",
      "code_information": [
        {
          "code": "PX-CHKN2230",
          "type": "CDM"
        },
        {
          "code": "A6448",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.67,
          "discounted_cash": 0.44,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.67,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.43
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.67,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.67,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.67,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.67,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.49
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 0.67,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.49
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.67,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.67,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 0.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.44
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.49
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.67,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.67,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.67,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.67,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.67,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.67,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.67,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.67,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.67,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.67,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.67,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.67,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.67,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.67,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.67,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.67,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.67,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.67,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.67,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.49
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.67,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.67,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.67,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.44
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 0.67,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.67,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.44
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.49
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.67,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.67,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.67,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.67,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.49
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.67,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.67,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.67,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.67,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.55
            }
          ]
        }
      ]
    },
    {
      "description": "\"Curad Xeroform Gauze Drsg Sterile, 4\"\" X 4\"\" Lf\"",
      "code_information": [
        {
          "code": "PX-CH60CUR253440",
          "type": "CDM"
        },
        {
          "code": "A6222",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1.08,
          "discounted_cash": 0.7,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.08,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.08,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.79
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.79
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.08,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.08,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.08,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.08,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.08,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.08,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.08,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.08,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.08,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.68
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.08,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.08,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.08,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.08,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.7
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.79
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.79
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.08,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.08,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.08,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.08,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.68
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.79
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1.08,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.08,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.08,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.08,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.08,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.69
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.08,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.7
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1.08,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.08,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.68
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.08,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.69
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.9
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.08,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.08,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.08,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.08,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.08,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.08,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.79
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.08,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.08,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.08,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.7
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.08,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.08,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.08,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "2 Pc Pouch 2 1-4 in New Image Lock & Roll Closure",
      "code_information": [
        {
          "code": "PX-CHHO18003",
          "type": "CDM"
        },
        {
          "code": "A5063",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.31,
          "discounted_cash": 0.2,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.31,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.31,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.31,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.31,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.31,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.31,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.31,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.31,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.31,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.31,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.31,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.31,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.31,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 0.31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.31,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.31,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.31,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.31,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.26
            }
          ]
        }
      ]
    },
    {
      "description": "Muscular Atrophy, Kennedy Disease, X Chromosome Inactivation Gene Analysis",
      "code_information": [
        {
          "code": "PX-30000278",
          "type": "CDM"
        },
        {
          "code": "81174",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1748,
          "discounted_cash": 1136.2,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1104.74
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1311
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 694.5,
              "estimated_amount": 694.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 694.5,
              "estimated_amount": 694.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 694.5,
              "estimated_amount": 694.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1104.74
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1433.36
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 961.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 694.5,
              "estimated_amount": 694.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1485.8
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1485.8
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1311
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1485.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1335.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 694.5,
              "estimated_amount": 694.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1276.04
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1485.8
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1538.24
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1485.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1104.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1104.74
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1485.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 694.5,
              "estimated_amount": 694.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 970.14
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 970.14
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 477.2
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1485.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 694.5,
              "estimated_amount": 694.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1137.95
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1276.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1433.36
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1433.36
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 961.4
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1485.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 694.5,
              "estimated_amount": 694.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 694.5,
              "estimated_amount": 694.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1137.95
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1276.04
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1276.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1122.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 694.5,
              "estimated_amount": 694.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1104.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1533
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1104.74
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1433.36
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1449.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1533
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1433.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1122.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1122.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1122.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 694.5,
              "estimated_amount": 694.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1414.13
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 970.14
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1153.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1122.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1122.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 694.5,
              "estimated_amount": 694.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 961.4
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1449.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1104.74
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 961.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1335.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 694.5,
              "estimated_amount": 694.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 694.5,
              "estimated_amount": 694.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1137.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1137.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1137.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 694.5,
              "estimated_amount": 694.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 694.5,
              "estimated_amount": 694.5
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1311
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1104.74
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1433.36
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 961.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1122.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1122.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1122.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1335.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1122.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1335.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1122.22
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1276.04
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1748
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1485.8
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1485.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1433.36
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 961.4
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1449.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1335.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 694.5,
              "estimated_amount": 694.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1122.22
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1414.13
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 970.14
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1485.8
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1485.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1433.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1335.47
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1276.04
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 1136.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 961.4
            }
          ],
          "minimum": 694.5,
          "maximum": 694.5
        }
      ]
    },
    {
      "description": "Wound Cleanser 16 Oz Spray Bottle",
      "code_information": [
        {
          "code": "PX-CH54449000",
          "type": "CDM"
        },
        {
          "code": "A6260",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 28.72,
          "discounted_cash": 18.67,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 18.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 25.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 23.55
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 23.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 21.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 18.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 23.23
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 15.94
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 28.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 18.44
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 28.72,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 23.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 23.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 15.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 28.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 24.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 18.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 28.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 28.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 28.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 18.7
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 20.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 21.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 28.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 24.41
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 28.72,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 15.8
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 23.81
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 23.81
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 25.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 18.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 23.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 18.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 18.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 18.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 28.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 28.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 18.7
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 20.97
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 24.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 28.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 28.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 28.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 28.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 18.7
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 15.94
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 24.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 18.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 18.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 15.8
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 24.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 28.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 28.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 28.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 15.94
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 7.84
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 24.41
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 15.8
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 28.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 25.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 23.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 28.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 20.97
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 28.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 24.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 21.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 18.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 21.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 18.7
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 24.41
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 15.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 21.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 18.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 21.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 28.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 28.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 18.44
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 20.97
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 28.72
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 21.54
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 15.8
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 21.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 23.55
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 24.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 28.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 23.23
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 24.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 18.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 28.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 28.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 20.97
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 24.41
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 21.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 18.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 18.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 28.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 28.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 18.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 18.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 18.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 18.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 18.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 23.55
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 24.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 18.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 28.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 20.97
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 28.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 15.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 23.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 15.8
            }
          ]
        }
      ]
    },
    {
      "description": "Reposition Phrenic Nerve Stim Transvenous Lead(S)",
      "code_information": [
        {
          "code": "PX-36101085",
          "type": "CDM"
        },
        {
          "code": "33281",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 9735,
          "discounted_cash": 6327.75,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6152.52
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5354.25
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 8566.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7437.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9735,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 7875.62
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8274.75
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 6425.1
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8274.75
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8274.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 8537.6
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 8070.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7437.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6249.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6249.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9735,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7106.55
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7106.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6249.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9735,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8274.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 8537.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7982.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5354.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7982.7
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 8070.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9735,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9735,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6249.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9735,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6152.52
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5354.25
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 8070.32
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8274.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6249.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6249.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6249.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9735,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9735,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9735,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8274.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6249.87
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9735,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8274.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6152.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6152.52
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7982.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5354.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5354.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7437.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6249.87
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 7301.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9735,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6337.49
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6337.49
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9735,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8274.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 7301.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7982.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7982.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9735,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9735,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6337.49
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7106.55
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8274.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7982.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7982.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7982.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5354.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7437.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6249.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9735,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9735,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7437.54
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7106.55
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7106.55
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 2657.66
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8274.75
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8274.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6152.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6152.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6152.52
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5354.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6249.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6249.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9735,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9735,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6337.49
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6337.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7437.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9735,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9735,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9735,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9735,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 7875.62
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7106.55
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8274.75
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 6327.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6152.52
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 7301.25
            }
          ]
        }
      ]
    },
    {
      "description": "Leadless Pacemaker Eval W Adjust",
      "code_information": [
        {
          "code": "PX-48000104",
          "type": "CDM"
        },
        {
          "code": "0826T",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 228,
          "discounted_cash": 148.2,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 144.1
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 189.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 174.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 174.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 228,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 146.38
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 193.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 144.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 125.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 146.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 228,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 148.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 148.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 146.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 174.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 146.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 146.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 228,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 228,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 166.44
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 166.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 144.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 186.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 186.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 125.4
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 193.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 144.1
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 189.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 174.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 228,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 228,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 228,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 62.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 174.19
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 193.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 199.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 144.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 125.4
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 171
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 186.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 189.01
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 193.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 146.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 228,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 228,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 184.45
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 171
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 193.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 146.38
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 166.44
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 193.8
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 171
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 193.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 144.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 125.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 148.43
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 193.8
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 193.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 174.19
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 166.44
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 126.54
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 148.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 186.96
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 200.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 186.96
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 193.8
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 193.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 146.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 228,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 148.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 184.45
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 166.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 144.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 144.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 125.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 146.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 146.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 228,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 228,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 228,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 148.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 228,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 126.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 199.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 125.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 125.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 186.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 186.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 228,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 166.44
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 228
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 146.38
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 126.54
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 193.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 146.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 228,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 228,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 126.54
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 150.48
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 186.96
            }
          ]
        }
      ]
    },
    {
      "description": "\"Conforming Gauze Bndg 4\"\"X4-1/2 Yds. Absorbent Cohesive\"",
      "code_information": [
        {
          "code": "PX-CHEV932444",
          "type": "CDM"
        },
        {
          "code": "A6443",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1.6,
          "discounted_cash": 1.04,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1.4
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1.29
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.04
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1.06
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.31
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.04
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.04
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.36
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.01
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.31
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.03
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.36
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.36
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.01
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.01
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1.29
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.01
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.36
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.17
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.36
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.01
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.2
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.17
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 1.04
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.04
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.36
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.36
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.36
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.01
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.31
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.17
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.31
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.33
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.88
            }
          ]
        }
      ]
    },
    {
      "description": "Solid Organ Neoplasm Dna Analysis",
      "code_information": [
        {
          "code": "PX-31000179",
          "type": "CDM"
        },
        {
          "code": "81457",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 11400,
          "discounted_cash": 7410,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7204.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 11400,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11400,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 7159.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8709.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 7159.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7421.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7421.4
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9690
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6270
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 11400,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 10032
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7204.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 7398.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 7159.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 6327
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9690
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9690
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8709.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 7159.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 7398.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 11400
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9348
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9348
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9348
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 7398.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7421.4
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8322
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 7159.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7204.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 9997.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6270
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6270
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 9450.6
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11400,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 9450.6
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 2496.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7318.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8709.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 7159.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7318.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8709.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 7159.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7421.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 9222.6
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 8550
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7204.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 11400,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 9450.6
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11400,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 11400,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7204.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9348
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11400,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8709.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 6327
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 7410
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7318.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8709.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7318.8
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 11400,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11400,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9690
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9690
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7204.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9348
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9348
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7318.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 7159.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 7159.2
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 8550
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8322
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9690
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7318.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7421.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 6327
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 11400,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 11400,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 7524
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9348
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 11400,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9690
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7318.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7318.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 7398.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 9222.6
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8322
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8322
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9690
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9690
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7318.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7318.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 7159.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 7159.2
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8322
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9690
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9690
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9690
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6270
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9690
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7204.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 9997.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7204.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 11400,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 11400,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11400,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 11400,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 3112.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 7159.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 6327
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 11400,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 8550
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6270
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6270
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11400,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7318.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7318.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 7159.2
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8322
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9690
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9348
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6270
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 10800,
          "discounted_cash": 7020,
          "payers_information": [
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8856
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8856
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8856
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5940
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 8953.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 6782.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7030.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 5994
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 5994
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9180
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9180
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6825.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6825.6
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9180
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9180
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 8100
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9180
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9180
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8251.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8251.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6933.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7030.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 10800
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5940
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 8953.2
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 9504
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5940
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6933.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6933.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 6782.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 6782.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6933.6
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7884
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9180
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6825.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5940
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6933.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6933.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 6782.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 7009.2
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7884
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8251.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6933.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6933.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6933.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6933.6
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7884
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 5994
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9180
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 7128
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8856
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7030.8
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7884
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 6782.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 6782.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 6782.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 8737.2
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9180
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9180
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5940
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 9471.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8856
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6933.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 6782.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7030.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7030.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 6782.4
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 2948.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8856
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9180
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 9471.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8856
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 8953.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 6782.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 8737.2
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 7020
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9180
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8251.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6933.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 7009.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 6782.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5940
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6825.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6825.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8856
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 7009.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 6782.4
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7884
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8251.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8251.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 7009.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 5994
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 8100
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 8100
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6825.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 6782.4
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7884
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6825.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6825.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5940
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 6000,
          "discounted_cash": 3900,
          "payers_information": [
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 6000,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6000,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 1314
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3852
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4380
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 6000
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3768
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3768
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5100
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5100
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3792
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4974
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 6000,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 5280
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3852
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3768
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 3894
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4854
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4380
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5100
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1638
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3768
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3768
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3792
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4974
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4584
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4380
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3852
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4380
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3792
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6000,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 6000,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3300
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3300
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5100
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3906
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 6000,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5100
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3852
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 3894
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3768
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3330
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3330
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5100
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3300
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 6000,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3792
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 6000,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4584
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3768
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4380
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5100
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3852
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3852
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3768
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 3894
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5100
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5100
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6000,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 6000,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 5262
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4920
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4920
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3300
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3852
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3768
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4500
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5100
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4584
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3852
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3852
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3906
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4854
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3906
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3906
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 6000,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 6000,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5100
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4500
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 3960
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4920
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3300
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6000,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5100
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4500
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 5262
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3300
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3300
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4974
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 6000,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3768
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3906
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4380
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3330
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3330
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 3900
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4584
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3852
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3852
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3768
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 3894
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5100
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3792
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4920
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 6000,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3792
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4920
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4920
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4920
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6000,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3852
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4584
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3768
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4584
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3768
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3792
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3792
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6000,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4920
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 6000,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6000,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5100
            }
          ]
        }
      ]
    },
    {
      "description": "Acetylcholine Receptor Binding Antibody",
      "code_information": [
        {
          "code": "PX-30200754",
          "type": "CDM"
        },
        {
          "code": "86041",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 100,
          "discounted_cash": 65,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 63.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 87.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 64.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 69,
              "estimated_amount": 69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 69,
              "estimated_amount": 69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 69,
              "estimated_amount": 69
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 27.3
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 100,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 76.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 64.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 69,
              "estimated_amount": 69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 63.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 63.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 63.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 18.4,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 18.58,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 82.9
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 18.4,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 19.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 64.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 69,
              "estimated_amount": 69
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 75
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 76.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 69,
              "estimated_amount": 69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 69,
              "estimated_amount": 69
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 18.4,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 18.4,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 87.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 82
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.4,
              "estimated_amount": 18.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 55
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 18.4,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 19.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 18.4,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 19.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 85
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 69,
              "estimated_amount": 69
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 76.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 65.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 65.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 18.4,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 18.58,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 18.4,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 19.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 18.4,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 18.58,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 85
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 64.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 69,
              "estimated_amount": 69
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 65.1
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 85
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 18.4,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 18.58,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 82.9
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.4,
              "estimated_amount": 18.4
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.4,
              "estimated_amount": 18.4
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 85
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 76.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 76.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 69,
              "estimated_amount": 69
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 73
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 55.5
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 80.9
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 73
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 65
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 100,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 64.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 69,
              "estimated_amount": 69
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.4,
              "estimated_amount": 18.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 69,
              "estimated_amount": 69
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 100,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 69,
              "estimated_amount": 69
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 80.9
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 55.5
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 18.4,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 18.4,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 64.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 64.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 76.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 69,
              "estimated_amount": 69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 69,
              "estimated_amount": 69
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 55.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 55
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 82.9
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 88
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 18.4,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 18.58,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.4,
              "estimated_amount": 18.4
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.4,
              "estimated_amount": 18.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 64.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 100
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 100,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 64.2
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 73
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 63.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 63.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 55
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 100,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 82
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.4,
              "estimated_amount": 18.4
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 100,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 64.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 64.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 69,
              "estimated_amount": 69
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 55.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 64.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 65.1
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 18.4,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 18.4,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 63.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 69,
              "estimated_amount": 69
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 65.1
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 63.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 55
            }
          ],
          "minimum": 18.4,
          "maximum": 69
        }
      ]
    },
    {
      "description": "\"Drain Pouch Convex Flextend Premier Ctf 1\"\" Lock N Roll\"",
      "code_information": [
        {
          "code": "PX-CHHO8244",
          "type": "CDM"
        },
        {
          "code": "A4390",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1.14,
          "discounted_cash": 0.74,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.14,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.14,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.14,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.14,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.14,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.14,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.14,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.14,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.14,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.14,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.14,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.14,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.14,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.14,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.72
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.72
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.14,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.14,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.14,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.86
            }
          ]
        }
      ]
    },
    {
      "description": "\"1 Pc Drainable Pouch Ctf 2-1/2\"\" Lock N Roll Lf\"",
      "code_information": [
        {
          "code": "PX-CHHO8381",
          "type": "CDM"
        },
        {
          "code": "A4424",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.64,
          "discounted_cash": 0.42,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 0.64,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.64,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.64,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.64,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.64,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.64,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.64,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.64,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.49
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.64,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.4
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.64,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.49
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.64,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.64,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.64,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 0.64,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.64,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.64,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.64,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.64,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.49
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.64,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.64,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.64,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.64,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.52
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.64,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.48
            }
          ]
        }
      ]
    },
    {
      "description": "\"Non-Adherent Dressing Gauze Pad, Sterile, 2\"\" X 3\"\"\"",
      "code_information": [
        {
          "code": "PX-CH689640",
          "type": "CDM"
        },
        {
          "code": "A6402",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.09,
          "discounted_cash": 0.06,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.08
            }
          ]
        }
      ]
    },
    {
      "description": "Intermittent Cath Unisex Kit 16 Fr 1100 Ml Lf",
      "code_information": [
        {
          "code": "PX-CH574A5146",
          "type": "CDM"
        },
        {
          "code": "A4353",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 4.36,
          "discounted_cash": 2.83,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.76
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.84
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.18
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.42
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 2.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.33
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.84
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.42
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.4
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3.61
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.4
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 3.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.8
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.8
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1.19
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.84
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4.36,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.33
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3.61
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.4
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.4
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.18
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4.36,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.33
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.76
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.4
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.84
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.76
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3.61
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.18
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 4.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.58
            }
          ]
        }
      ]
    },
    {
      "description": "Belt Ostomy Support Brava Large",
      "code_information": [
        {
          "code": "PX-CHCO12005",
          "type": "CDM"
        },
        {
          "code": "A4396",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 37.33,
          "discounted_cash": 24.26,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 23.59
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 30.61
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 30.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.97
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 37.33,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 27.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 37.33,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 27.25
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 31.73
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 20.53
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 20.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 37.33,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 10.19
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.97
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 37.33,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 24.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 32.74
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 30.61
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 20.53
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 20.53
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 30.95
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 31.73
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 37.33,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 37.33,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 24.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 20.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 24.3
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 31.73
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 31.73
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 31.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 32.74
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 31.73
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 30.61
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 31.73
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 24.3
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 27.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 37.33,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 31.73
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 23.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 23.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 30.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 20.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.97
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 37.33,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 24.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 24.3
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 27.25
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 31.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 23.59
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 20.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 28.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.97
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 37.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 37.33,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 37.33,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 37.33,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 37.33,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 23.59
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 30.61
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 30.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 28.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 28.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 37.33,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 37.33,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 27.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 20.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 28.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 37.33,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 30.2
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 24.26
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 31.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 23.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 23.59
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 30.61
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 30.95
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 32.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 28.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 28.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.97
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 37.33,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 37.33,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 20.72
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 20.53
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 31.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.97
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 27.25
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 31.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 23.59
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 30.61
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 30.61
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 20.53
            }
          ]
        }
      ]
    },
    {
      "description": "IDE #G220093 Atriclip Excluder",
      "code_information": [
        {
          "code": "PX-62400311",
          "type": "CDM"
        },
        {
          "code": "C1889",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1150,
          "discounted_cash": 747.5,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 726.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 632.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1150,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1150,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 738.3
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 977.5
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 747.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 878.6
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 839.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 638.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 726.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 943
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 943
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 632.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 632.5
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1150,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 977.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 943
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1150,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1150,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 862.5
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1150,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 930.35
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1150,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 632.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 953.35
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1150,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 726.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 726.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 632.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 638.25
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 862.5
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 977.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 738.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 738.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1150,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 930.35
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 977.5
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 977.5
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1150,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 977.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 632.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1150,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1150,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1150,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1150,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 977.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1150,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1150,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 748.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 748.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 726.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 943
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1150,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 251.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1150,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 977.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 738.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1150,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 748.65
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 839.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 977.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 748.65
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 977.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 977.5
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 977.5
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 977.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1008.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1008.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 726.8
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 953.35
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1150,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 726.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 943
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 878.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 738.3
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 839.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1150
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 738.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 878.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 738.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 738.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1150,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1150,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1150,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1150,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 748.65
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 839.5
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 759
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 726.8
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 953.35
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1150,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 977.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 632.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1150,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1150,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1150,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 839.5
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1150,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 738.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 738.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 878.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1150,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1150,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1150,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 839.5
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1150,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 638.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 943
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1150,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1150,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 943
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1150,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1150,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1150,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 878.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1150,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 638.25
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 313.95
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 862.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 943
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1150,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 738.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 738.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 878.6
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1150,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1012
            }
          ]
        }
      ]
    },
    {
      "description": "\"Insert Pad Simplicity 6 1/2\"\" X 17\"\" Lf\"",
      "code_information": [
        {
          "code": "PX-CH686426",
          "type": "CDM"
        },
        {
          "code": "T4535",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.35,
          "discounted_cash": 0.23,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            }
          ]
        }
      ]
    },
    {
      "description": "Non-Rebreathing Oxygen Mask 7 Ft Tube High Concentration",
      "code_information": [
        {
          "code": "PX-CHSA8130TG",
          "type": "CDM"
        },
        {
          "code": "A4620",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2.78,
          "discounted_cash": 1.81,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.28
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.03
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.78,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.78
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.78,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.36
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.36
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 1.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.78,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.78,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.78,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.78,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.81
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.53
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.36
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.36
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 2.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.78
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.03
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.78,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.28
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.78,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.78,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.78,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.78,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.78,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.81
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.03
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2.09
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.53
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2.3
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.36
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.78,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.78,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.53
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.78
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.81
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.36
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.78,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.78,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.53
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.53
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.78,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.03
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.81
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.36
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.53
            }
          ]
        }
      ]
    },
    {
      "description": "Exc Ben Lesion Xcp Sk Tg F/E/E/N/L/M 2.1-3.0cm",
      "code_information": [
        {
          "code": "PX-36101101",
          "type": "CDM"
        },
        {
          "code": "11443",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 5046,
          "discounted_cash": 3279.9,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3189.07
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2775.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3239.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5046,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3239.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3239.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5046,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4082.21
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3683.58
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4289.1
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1485.79,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4289.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3189.07
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2775.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1429.19,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1415.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1415.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 4440.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3855.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3855.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3855.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5046,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3683.58
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4289.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5046,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5046,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5046,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4082.21
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3284.95
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3683.58
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 3330.36
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2775.3
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1415.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1429.19,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3189.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4137.72
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1415.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4289.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3239.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5046,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5046,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1415.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3784.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3239.53
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "estimated_amount": 5046
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5046,
              "additional_payer_notes": " ASC LISTED"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4289.1
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4289.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2775.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1429.19,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1415.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4183.13
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4183.13
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1485.79,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4289.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4137.72
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3784.5
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5046,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3239.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3855.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5046,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3284.95
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "estimated_amount": 5046
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4289.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3189.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4137.72
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2775.3
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1415.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5046,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5046,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4425.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3239.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3239.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5046,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "estimated_amount": 5046
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1377.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3239.53
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3683.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3189.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4137.72
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1429.19,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4183.13
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4137.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4137.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3239.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5046,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4289.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3239.53
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3683.58
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "estimated_amount": 5046
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4289.1
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1485.79,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4289.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2775.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5046,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5046,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5046,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "estimated_amount": 5046
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4289.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3284.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3284.95
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 3279.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3189.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3189.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4137.72
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2775.3
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1415.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1485.79,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4425.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4137.72
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1429.19,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3239.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5046,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3284.95
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4289.1
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5046,
              "additional_payer_notes": " ASC LISTED"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3784.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3855.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5046,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5046,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3683.58
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1415.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4289.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3189.07
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 1105.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3855.14
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1415.04,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "2 Pc Std Wear 1 1-4 - 1 3-4 Moldable",
      "code_information": [
        {
          "code": "PX-CHCV421035",
          "type": "CDM"
        },
        {
          "code": "A4409",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1.59,
          "discounted_cash": 1.03,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.3
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.59,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.59,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.21
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.3
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.59,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.59,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1.29
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.59,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.59,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.59,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.59,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.04
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.59,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.3
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.59,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.59,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.59,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.59,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.04
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.02
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.59,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.59,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.59,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.59,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.59,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.02
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.59,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.32
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.59,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.21
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.59,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1.59,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.21
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1.29
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.59,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.59,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.59,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.59,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.59,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.04
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.59,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.59,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.59,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.02
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1.59
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.59,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.59,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.04
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.59,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.59,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.02
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.59,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.43
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.59,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1.59,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.59,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.59,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.59,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.32
            }
          ]
        }
      ]
    },
    {
      "description": "Des-Gamma-Carboxy Prothrombin S So",
      "code_information": [
        {
          "code": "PX-30000287",
          "type": "CDM"
        },
        {
          "code": "83951",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 600,
          "discounted_cash": 390,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 379.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 385.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 385.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 390.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 241.54,
              "estimated_amount": 241.54
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 330
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 379.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 379.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 492
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 241.54,
              "estimated_amount": 241.54
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 510
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 241.54,
              "estimated_amount": 241.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 485.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 390.6
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 438
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 333
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 510
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 510
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 526.2
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 510
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 330
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 510
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 458.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 458.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 458.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 385.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 458.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 241.54,
              "estimated_amount": 241.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 385.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 385.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 241.54,
              "estimated_amount": 241.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 241.54,
              "estimated_amount": 241.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 241.54,
              "estimated_amount": 241.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 379.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 497.4
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 450
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 492
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 492
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 330
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 241.54,
              "estimated_amount": 241.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 241.54,
              "estimated_amount": 241.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 390.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 485.4
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 438
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 385.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 385.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 241.54,
              "estimated_amount": 241.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 241.54,
              "estimated_amount": 241.54
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 510
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 450
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 492
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 492
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 492
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 528
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 492
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 330
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 510
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 241.54,
              "estimated_amount": 241.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 241.54,
              "estimated_amount": 241.54
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 510
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 390
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 379.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 497.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 379.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 379.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 330
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 330
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 385.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 385.2
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 438
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 333
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 333
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 333
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 163.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 241.54,
              "estimated_amount": 241.54
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 600
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 396
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 526.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 497.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 492
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 330
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 510
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 241.54,
              "estimated_amount": 241.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 241.54,
              "estimated_amount": 241.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 390.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 390.6
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 438
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 510
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 385.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 458.4
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 438
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 379.2
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 510
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 458.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 385.2
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 438
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 510
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 450
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 385.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 241.54,
              "estimated_amount": 241.54
            }
          ],
          "minimum": 241.54,
          "maximum": 241.54
        }
      ]
    },
    {
      "description": "\"Personal Cleansing Cloth, Non-Flushable 9 X 13\"\" - 96 Pac\"",
      "code_information": [
        {
          "code": "PX-CHA12AWU96",
          "type": "CDM"
        },
        {
          "code": "A9286",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.05,
          "discounted_cash": 0.03,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 0.05,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 0.05,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.03
            }
          ]
        }
      ]
    },
    {
      "description": "Nasal Cannula Adult Clear 7 Ft High Flow Green Tube",
      "code_information": [
        {
          "code": "PX-CHSA1600HF725",
          "type": "CDM"
        },
        {
          "code": "A4615",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 3.96,
          "discounted_cash": 2.57,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.2
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.58
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.89
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.89
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.25
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.54
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.89
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.89
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.2
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.37
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.54
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 3.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3.47
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 3.48
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.58
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.37
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.37
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3.47
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2.97
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.37
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.89
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.37
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 2.57
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.54
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3.28
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.37
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.58
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2.97
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.18
            }
          ]
        }
      ]
    },
    {
      "description": "HC Removal Impacted Cerumen by Irrig Unilat",
      "code_information": [
        {
          "code": "PX-45000250",
          "type": "CDM"
        },
        {
          "code": "69209",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 899,
          "discounted_cash": 584.35,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 658.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 658.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 737.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 661.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 899,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 899,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 585.25
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 245.43
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 674.25
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 764.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 661.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 686.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 899,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.5,
              "estimated_amount": 660.77
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 494.45
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 745.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 661.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 899,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 585.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.5,
              "estimated_amount": 660.77
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 593.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 686.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 661.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 727.29
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 674.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 658.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 658.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 737.18
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 745.27
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 764.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 899,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 899,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 899,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 585.25
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 656.27
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 737.18
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 745.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 661.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 661.66
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 656.27
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 899
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 661.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 899,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 899,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 656.27
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 764.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 494.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 737.18
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 494.45
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 764.15
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 764.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 661.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 661.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 899,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 899,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 899,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 585.25
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 656.27
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 764.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 737.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 661.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 686.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 899,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.5,
              "estimated_amount": 660.77
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 764.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 899,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 727.29
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 764.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 737.18
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 494.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 658.07
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 674.25
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 764.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 686.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 899,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 585.25
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 656.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 899,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 656.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 658.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 737.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 788.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 494.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 661.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 686.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 899,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.5,
              "estimated_amount": 660.77
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 584.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 661.66
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 764.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 658.07
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 494.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 494.45
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 791.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 686.84
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 764.15
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 764.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 788.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 658.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 737.18
            }
          ]
        }
      ]
    },
    {
      "description": "HC Cmv Amp Probe Panel",
      "code_information": [
        {
          "code": "PX-30600304",
          "type": "CDM"
        },
        {
          "code": "87496",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 107,
          "discounted_cash": 69.55,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 67.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 67.62
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 87.74
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 58.85
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 35.09,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 36.84,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 68.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 81.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 68.69
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 51.28,
              "estimated_amount": 51.28
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 90.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 90.95
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 69.55
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 90.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 87.74
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 87.74
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 58.85
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.09,
              "estimated_amount": 35.09
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 35.09,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 36.84,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 80.25
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 90.95
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 78.11
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 107
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 70.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 68.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 68.69
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 78.11
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 35.09,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 35.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 90.95
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 90.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 90.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 67.62
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 87.74
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 88.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 87.74
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 35.09,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 35.44,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.09,
              "estimated_amount": 35.09
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.09,
              "estimated_amount": 35.09
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 94.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 69.66
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 59.39
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 90.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 81.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 51.28,
              "estimated_amount": 51.28
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 88.7
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 35.09,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 35.44,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 93.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 68.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 35.09,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 35.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 59.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 68.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 81.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 86.56
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 78.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 67.62
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 87.74
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 58.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 35.09,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 35.44,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 35.09,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 35.44,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 35.09,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 35.44,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 67.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 67.62
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.09,
              "estimated_amount": 35.09
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 90.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 81.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 86.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 59.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 67.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 67.62
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.09,
              "estimated_amount": 35.09
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 87.74
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 58.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 68.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 51.28,
              "estimated_amount": 51.28
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 78.11
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 78.11
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 59.39
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 90.95
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 90.95
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 80.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 69.66
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 90.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 87.74
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 58.85
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 90.95
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 90.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 81.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 68.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 68.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 81.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 68.69
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 69.66
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 35.09,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 35.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 58.85
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 88.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 93.84
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 58.85
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.09,
              "estimated_amount": 35.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 69.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 68.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 68.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 69.66
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 78.11
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 29.21
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 80.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.09,
              "estimated_amount": 35.09
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 35.09,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 36.84,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 35.09,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 36.84,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            }
          ],
          "minimum": 35.09,
          "maximum": 131.59
        }
      ]
    },
    {
      "description": "HC Ml Heroin Metabolite",
      "code_information": [
        {
          "code": "PX-30101162",
          "type": "CDM"
        },
        {
          "code": "80356",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 21,
          "discounted_cash": 13.65,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 13.27
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 17.41
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 21,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 13.67
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 15.33
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 13.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 15.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 13.27
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 16.04
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 15.75
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.85
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 16.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 13.67
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 18.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.55
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 15.75
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 17.22
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 17.41
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 16.99
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.85
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 13.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 16.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 13.67
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 11.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 13.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 13.27
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 17.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.48
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.85,
              "estimated_amount": 12.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 21
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.85
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 17.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 17.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 17.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 17.22
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.55
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 16.99
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.85
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 15.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 15.33
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 15.33
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 11.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 13.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 13.27
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 21,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 17.22
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 13.67
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 17.22
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.55
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.85,
              "estimated_amount": 12.85
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 21,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 16.04
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 15.33
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.85,
              "estimated_amount": 12.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 16.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 5.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 13.27
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 18.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 16.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 15.33
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 11.66
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.85
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 17.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 13.67
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 11.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 13.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 18.42
            }
          ],
          "minimum": 12.85,
          "maximum": 12.85
        }
      ]
    },
    {
      "description": "HC Ml Opiods and Opiate Analogs; 1 or 2",
      "code_information": [
        {
          "code": "PX-30101168",
          "type": "CDM"
        },
        {
          "code": "80362",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 21,
          "discounted_cash": 13.65,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 13.27
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 17.22
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.55
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 17.41
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 17.41
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 15.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 15.33
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 13.27
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 17.22
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 21,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 15.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.55
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 21,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 18.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 23.14,
              "estimated_amount": 23.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 16.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 13.67
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 15.33
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.85
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.85
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 21,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 17.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 16.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.48
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 11.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 13.27
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 17.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.48
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 15.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 11.66
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.85
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 15.75
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 13.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 13.27
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 18.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 16.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 13.67
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 21
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 13.67
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.85
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 13.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 18.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 13.27
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 17.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 17.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 17.22
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 13.27
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.55
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.85
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 5.73
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 17.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 16.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 13.67
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 16.99
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 15.33
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.85
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 15.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 16.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.55
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.85
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 13.27
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 23.14,
              "estimated_amount": 23.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 13.67
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 11.66
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 23.14,
              "estimated_amount": 23.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 16.99
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 15.33
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 11.66
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.85
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 17.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 16.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 13.27
            }
          ],
          "minimum": 23.14,
          "maximum": 23.14
        }
      ]
    },
    {
      "description": "HC Ml Pregabalin",
      "code_information": [
        {
          "code": "PX-30101171",
          "type": "CDM"
        },
        {
          "code": "80366",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 21,
          "discounted_cash": 13.65,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 9.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 9.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 9.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 17.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 13.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 10.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.55
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 10.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.55
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 21,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 13.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 13.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21,
              "additional_payer_notes": "REFERENCE LAB"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21,
              "additional_payer_notes": "REFERENCE LAB"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 11.66
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 25,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 13.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 11.66
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 15.75
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 13.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 9.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 17.22
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.55
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.85
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 21,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 9.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 9.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 17.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 17.22
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.55
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 10.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 10.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 11.66
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 15.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 13.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 10.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.85
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.85,
              "estimated_amount": 12.85
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 9.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 17.22
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21,
              "additional_payer_notes": "REFERENCE LAB"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21,
              "additional_payer_notes": "REFERENCE LAB"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 15.33
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 21
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 13.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 10.5
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.85,
              "estimated_amount": 12.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 9.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 9.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 17.22
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 13.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 15.33
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 15.33
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.85
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 13.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 15.33
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.85
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 10.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 15.33
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.85
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 17.22
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 10.5
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 21,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 15.75
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21,
              "additional_payer_notes": "REFERENCE LAB"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 13.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 13.13
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 17.22
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.55
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 18.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 13.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 10.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 13.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 13.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21,
              "additional_payer_notes": "REFERENCE LAB"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 10.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 15.33
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.85,
              "estimated_amount": 12.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 11.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 9.45
            }
          ],
          "minimum": 12.85,
          "maximum": 12.85
        }
      ]
    },
    {
      "description": "Ml Drugs or Substances, Defin, Ql or Qt; 1-3 So",
      "code_information": [
        {
          "code": "PX-30101179",
          "type": "CDM"
        },
        {
          "code": "80375",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 21,
          "discounted_cash": 13.65,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 13.27
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 17.22
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 16.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 11.66
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 17.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 13.27
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 16.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 16.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 15.33
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 11.66
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 15.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 16.04
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 11.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 18.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 17.22
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 17.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 13.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 13.27
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 17.22
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 13.67
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 13.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.85
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 15.75
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 13.27
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 18.48
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.85
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 15.33
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 13.67
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 15.33
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 11.66
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 5.73
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 13.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 18.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 17.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 17.22
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.48
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 16.04
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 13.67
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 17.22
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 17.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 13.67
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 13.67
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 15.33
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 16.99
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 13.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 13.27
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 17.22
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.85
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.48
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 16.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 15.33
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 15.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 16.99
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 15.33
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 13.27
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 17.22
            }
          ]
        }
      ]
    },
    {
      "description": "Hspc Room and Bed National Church Residences First Community",
      "code_information": [
        {
          "code": "PX-65900188",
          "type": "CDM"
        },
        {
          "code": "T2046",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 222.55,
          "discounted_cash": 144.66,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 195.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 140.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 170.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 144.88
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 162.46
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 162.46
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 189.17
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 166.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 195.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 140.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 182.49
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 122.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 142.88
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 162.46
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 222.55
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 189.17
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 189.17
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 123.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 142.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 142.88
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 123.52
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 222.55,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 222.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 222.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 123.52
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 184.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 142.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 142.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 170.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 222.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 222.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 146.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 170.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 144.88
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 162.46
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 222.55,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 140.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 182.49
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 182.49
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 195.84
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 122.4
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 184.49
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 189.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 222.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 144.88
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 189.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 140.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 182.49
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 182.49
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 122.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 122.4
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 184.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 140.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 170.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 142.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 222.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 222.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 222.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 222.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 180.04
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 144.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 142.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 170.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 142.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 222.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 144.88
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 122.4
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 189.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 140.65
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 122.4
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 166.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 142.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 170.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 142.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 142.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 142.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 222.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 222.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 180.04
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 123.52
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 189.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 222.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 162.46
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 189.17
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 189.17
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 182.49
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 189.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 140.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 140.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 182.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 222.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 222.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 60.76
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 166.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 222.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 222.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 162.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 182.49
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 122.4
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 189.17
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 189.17
            }
          ]
        }
      ]
    },
    {
      "description": "Gauze Drain Sponge Sterile 4 in X 4 in Cardinal",
      "code_information": [
        {
          "code": "PX-CH-55CNWDS446S",
          "type": "CDM"
        },
        {
          "code": "A6402",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.38,
          "discounted_cash": 0.25,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.38,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.38,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 0.38,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.38,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.38,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.38,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.38,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.38,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 0.38
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.38,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.38,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.38,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.38,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.38,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.38,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.38,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.38,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.38,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.38,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.38,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.38,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.38,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.38,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.38,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.38,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.38,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.38,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.38,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.38,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.38,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.38,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.38,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.38,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.38,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.38,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.38,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 0.38,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.38,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.38,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.38,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.38,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "Hydrofiber Alginate Aquacel 3/4 Inx18 in Rope",
      "code_information": [
        {
          "code": "PX-CH-CV1779-04",
          "type": "CDM"
        },
        {
          "code": "A6199",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 20.91,
          "discounted_cash": 13.59,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 13.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.42
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 13.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 15.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 13.61
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 15.26
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 20.91,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 13.22
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 20.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 20.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 17.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 17.33
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 20.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 20.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 15.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 15.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 15.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 20.91
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 5.71
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 17.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 17.15
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 20.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 18.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 18.34
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 20.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 13.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 15.26
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 20.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 20.91,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 15.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 13.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 13.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 13.22
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.5
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 13.22
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 20.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 16.92
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 15.26
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 15.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 15.26
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 11.61
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.77
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.77
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.5
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 20.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 20.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 13.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 17.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 20.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 15.26
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 11.61
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.77
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.77
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 20.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 15.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 17.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 20.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 20.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 20.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 15.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 15.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 16.92
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 15.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 13.61
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 13.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 20.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.77
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 17.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 17.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 17.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.42
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 20.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 13.61
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 20.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.77
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.77
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 20.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 13.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 17.15
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 17.33
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 20.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 11.61
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 11.61
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 20.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 18.34
            }
          ]
        }
      ]
    },
    {
      "description": "2 Pc Pouch Uro 2 3/4 in Sur-Fit Natura",
      "code_information": [
        {
          "code": "PX-CH-CV4015-46",
          "type": "CDM"
        },
        {
          "code": "A4432",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 6.46,
          "discounted_cash": 4.2,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4.21
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 4.2
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 4.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.94
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 6.46
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.49
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4.21
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.72
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.49
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.3
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 5.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4.21
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 5.67
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4.21
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.72
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.59
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.49
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.55
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.59
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 5.36
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.94
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.3
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.15
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.72
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.49
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.72
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.49
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.55
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 5.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4.21
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 5.67
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.55
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 5.36
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.49
            }
          ]
        }
      ]
    },
    {
      "description": "2 Pc Moldable Ext Wear 1 1/4 in - 1 3/4 in Sur-Fit",
      "code_information": [
        {
          "code": "PX-CH-CV4118-04",
          "type": "CDM"
        },
        {
          "code": "A4409",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 10.55,
          "discounted_cash": 6.86,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.67
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.67
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 8.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.97
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 2.88
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 6.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.77
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 5.86
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.97
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.97
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.97
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.65
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.8
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 8.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 8.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.67
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.65
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.8
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 9.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.65
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 10.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 10.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6.87
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 10.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.67
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.65
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 7.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.67
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 9.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.65
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 10.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7.7
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 5.86
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 7.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6.87
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 10.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.8
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 10.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.67
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 10.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 8.75
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.97
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 8.53
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 5.86
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6.87
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.97
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 10.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 10.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 10.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 10.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.77
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7.7
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 10.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.77
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 5.86
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 10.55,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 10.55,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.8
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 10.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 10.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 10.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 7.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7.7
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7.7
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 10.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 10.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.97
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 9.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 10.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 10.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 10.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6.87
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.67
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.65
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7.7
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 10.55
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.67
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 10.55,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "Wrap Self-Closure Bandage 6 in X 4 Yds Cardinal",
      "code_information": [
        {
          "code": "PX-CH-IMC552359306LF",
          "type": "CDM"
        },
        {
          "code": "A6449",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2.39,
          "discounted_cash": 1.55,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.51
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.39,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.56
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.74
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.33
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.31
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.31
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.31
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.53
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.39,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.39,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.33
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.33
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.39,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.39,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.39,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.39,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.74
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.74
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.39,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.39,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.39,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.31
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.03
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.39,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 2.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.39,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.39,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1.93
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.39,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.39,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.03
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2.39,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.51
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.39,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.39,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.39,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.39,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.39,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.74
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.03
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.31
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.98
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.39,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.39,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.98
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.79
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.39,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.39,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.39,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.39,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.39,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.96
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.39,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.96
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.39,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.39,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.39,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.39,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.39,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1.93
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.03
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.39,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.98
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.96
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.39,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.56
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.74
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2.39
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2.39,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.31
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.39,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.39,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.03
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.51
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.39,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "Hydrogel Drsg Kerralite Cool 3 in X 5 in Non-Adhesive",
      "code_information": [
        {
          "code": "PX-CH-IMCCWL1005",
          "type": "CDM"
        },
        {
          "code": "A6242",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 4.83,
          "discounted_cash": 3.14,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.14
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.53
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.11
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.14
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.66
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3.91
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.53
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.68
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.14
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.11
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.62
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.1
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.53
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.53
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.53
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1.32
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.11
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.11
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.11
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 3.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.11
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.11
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.66
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.68
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 3.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 4.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.66
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.11
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.11
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.66
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.66
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.1
            }
          ]
        }
      ]
    },
    {
      "description": "Intermittent Catheter 14 Fr 7.5 in Female Cardinal",
      "code_information": [
        {
          "code": "PX-CH-IMCPCPU014F",
          "type": "CDM"
        },
        {
          "code": "A4351",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1.02,
          "discounted_cash": 0.66,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1.02
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.67
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1.02
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "Foam Drsg Adhesive Border Kerra Foam 3 X 3",
      "code_information": [
        {
          "code": "PX-CH-IM-CWL1010",
          "type": "CDM"
        },
        {
          "code": "A6212",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 4.04,
          "discounted_cash": 2.63,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3.35
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.24
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.43
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.43
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3.54
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.55
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.43
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3.27
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.63
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.43
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.31
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.22
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.22
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.22
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.22
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.43
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.31
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.22
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.22
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3.27
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.24
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4.04,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.55
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.09
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 2.67
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.31
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.31
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.31
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 3.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4.04,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.63
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.63
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.63
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.24
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.63
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 4.04
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.59
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.04,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "Briefs Wings Choice Plus Quilted Adult X Large",
      "code_information": [
        {
          "code": "PX-CH-KN66035NP",
          "type": "CDM"
        },
        {
          "code": "T4524",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.92,
          "discounted_cash": 0.6,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.92,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.67
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.58
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.67
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.67
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.92,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.92,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.69
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.92,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.92,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.92,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.92,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.92,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.92,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.67
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.67
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.92,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.92,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.92,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.61
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.58
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.92,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.92,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.92,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.7
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.92,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.92,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.67
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.78
            }
          ]
        }
      ]
    },
    {
      "description": "Catheter Silicone Elastomer 18 Fr 5 Cc Peco Cardinal",
      "code_information": [
        {
          "code": "PX-CH-PCPF6518",
          "type": "CDM"
        },
        {
          "code": "A4338",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1.33,
          "discounted_cash": 0.86,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.33,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.33,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.33,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.33,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.13
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.33,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1.33
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.33,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.33,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.13
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.13
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.33,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.33,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.33,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.33,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.33,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.33,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.33,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.33,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.33,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.33,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.33,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.33,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.33,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.13
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.02
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.33,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.33,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.33,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.33,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1.17
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.33,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.33,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.33,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1.33,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.33,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.33,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.33,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.13
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.13
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.33,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.33,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.33,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.33,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.33,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.33,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.33,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1.33,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.33,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.13
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1.17
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.84
            }
          ]
        }
      ]
    },
    {
      "description": "Catheter Silicone Elastomer 20 Fr 30 Cc Peco Cardinal",
      "code_information": [
        {
          "code": "PX-CH-PCPF6620",
          "type": "CDM"
        },
        {
          "code": "A4338",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1.37,
          "discounted_cash": 0.89,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.12
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.37,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.14
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.37,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.37,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.37,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1.37,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.37,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.37,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.37,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.37,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.37,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.37,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.37,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1.37,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.12
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.37,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.14
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.37,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.12
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.37,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.37,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.12
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.37,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.37,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.12
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.37,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.37,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.12
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.37,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.37,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.16
            }
          ]
        }
      ]
    },
    {
      "description": "HC Dialysis Circuit Intro Needle/Cath W Tba Peripheral W Img",
      "code_information": [
        {
          "code": "PX-36100837",
          "type": "CDM"
        },
        {
          "code": "36902",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 16652,
          "discounted_cash": 10823.8,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10524.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10524.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12722.13
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16652,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10690.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16652,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 12489
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14154.2
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 10990.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9158.6
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 13804.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12722.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16652,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10840.45
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12155.96
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16652,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16652,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14154.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12722.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10840.45
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12155.96
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 10823.8
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 13804.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10524.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10690.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16652,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12155.96
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16652,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 12489
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16652,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10840.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13654.64
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9158.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10524.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10524.06
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 12489
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12722.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10690.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10690.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16652,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16652,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12155.96
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14154.2
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14154.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12722.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16652,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12155.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10524.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 14603.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9158.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9158.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13654.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13654.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10690.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16652,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 13471.47
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 4546
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10690.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16652,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16652,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10840.45
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12155.96
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14154.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13654.64
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9158.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10690.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10690.58
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14154.2
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14154.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16652,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10840.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9158.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10524.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13654.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13654.64
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9158.6
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14154.2
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 14653.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10690.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16652,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14154.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10690.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16652,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16652,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14154.2
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14154.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16652,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 13471.47
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16652,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10690.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12722.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16652,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14154.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 14603.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13654.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10690.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16652,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10524.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13654.64
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 13804.51
            }
          ]
        }
      ]
    },
    {
      "description": "Washcloth Disposable 3.2% Dimethicone",
      "code_information": [
        {
          "code": "PX-CH-A1-2AWU42",
          "type": "CDM"
        },
        {
          "code": "A9270",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.1,
          "discounted_cash": 0.06,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 0.1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 0.1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.09
            }
          ]
        }
      ]
    },
    {
      "description": "2 Pc Pouch Little Ones",
      "code_information": [
        {
          "code": "PX-CH-CV4116-40",
          "type": "CDM"
        },
        {
          "code": "A4419",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2.35,
          "discounted_cash": 1.53,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.72
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.53
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2.35
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1.55
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.53
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.93
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 2.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.93
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.29
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.29
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.72
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.53
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.93
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.72
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 1.53
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.29
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.49
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.53
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.72
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.72
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.3
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.49
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.93
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.3
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.49
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.29
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.29
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.93
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.29
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.51
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.49
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.93
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.3
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.49
            }
          ]
        }
      ]
    },
    {
      "description": "Absorption Dressing Xtrasorb Non Adhesive 4 in X 5 In",
      "code_information": [
        {
          "code": "PX-CH-DUM89545",
          "type": "CDM"
        },
        {
          "code": "A6252",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 4.36,
          "discounted_cash": 2.83,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3.53
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.18
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.84
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.18
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.76
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 3.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.76
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.76
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.8
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1.19
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.18
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.42
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.76
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.8
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.42
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 2.88
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.76
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.4
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.8
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.42
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4.36,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.18
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 4.36
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3.61
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.84
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.18
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.4
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3.61
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3.53
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4.36,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.42
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.27
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.4
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3.61
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.36,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "2 Pc Ctf Up to 1 in Cvx W/Tape Border Ceraplus",
      "code_information": [
        {
          "code": "PX-CH-HO11402",
          "type": "CDM"
        },
        {
          "code": "A4407",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 17.09,
          "discounted_cash": 11.11,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 13.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 17.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 13.83
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12.48
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 14.01
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 17.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 14.01
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 14.01
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 17.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.97
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 12.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.97
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 17.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 14.17
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 14.01
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 13.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.97
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 11.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 11.13
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.97
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12.48
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 17.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 14.01
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 17.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 17.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 17.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 9.48
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 17.09,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 11.13
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12.48
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 4.67
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.53
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 17.09,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9.4
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 11.13
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 9.48
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 17.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 17.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.97
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 17.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 12.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 17.09
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.97
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12.48
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.53
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 14.01
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 17.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 17.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 14.01
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9.4
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 17.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 17.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 17.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 17.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 13.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 11.13
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 14.01
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 17.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 17.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 14.99
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 14.99
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 13.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 13.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 9.48
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 12.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 13.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 17.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 11.28
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 14.17
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 17.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 13.83
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12.48
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 9.48
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.53
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 14.17
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 15.04
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.53
            }
          ]
        }
      ]
    },
    {
      "description": "Bag Bio-Hazard 12 in X 12 in Red",
      "code_information": [
        {
          "code": "PX-CH-MZNON151212",
          "type": "CDM"
        },
        {
          "code": "CUSTOM",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.26,
          "discounted_cash": 0.17,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.16
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.16
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.16
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.16
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.16
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.16
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.22
            }
          ]
        }
      ]
    },
    {
      "description": "Bags Trash Can Liners Small Black Only",
      "code_information": [
        {
          "code": "PX-CH-MZNONCHD33",
          "type": "CDM"
        },
        {
          "code": "CUSTOM",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.07,
          "discounted_cash": 0.05,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.04
            }
          ]
        }
      ]
    },
    {
      "description": "Tape Cloth Retention Drsg 4 in X 11 Yards Reliamed",
      "code_information": [
        {
          "code": "PX-CH-ZTDR04",
          "type": "CDM"
        },
        {
          "code": "A4452",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 16.09,
          "discounted_cash": 10.46,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11.75
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12.29
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 8.93
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13.19
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13.19
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.33
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 8.93
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.68
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 16.09,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10.47
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10.47
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 8.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.17
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 14.11
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 10.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.33
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.17
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.17
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13.19
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.85
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 13.02
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11.75
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.17
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 14.16
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 12.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10.47
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.68
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.68
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.68
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11.75
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10.47
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 16.09,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.17
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 13.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 14.11
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 12.07
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 13.02
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10.47
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 8.93
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 4.39
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.33
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 16.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.33
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 12.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13.19
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 13.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 13.34
            }
          ]
        }
      ]
    },
    {
      "description": "Gloves Nitrile Powder-Free Medium Flexal Feel",
      "code_information": [
        {
          "code": "PX-CH-SZNIPFT103",
          "type": "CDM"
        },
        {
          "code": "A4927",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.08,
          "discounted_cash": 0.05,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.08,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.08,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.08,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.08,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.08,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.08,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.08,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.08,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.08,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.08,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.08,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.08,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.08,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.08,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.08,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.08,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.08,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.08,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 0.08,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.08,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.08,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 0.08,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.08,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.08,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.08,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.08,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.08,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.08,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.08,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.07
            }
          ]
        }
      ]
    },
    {
      "description": "2 Pc Pouch 1 3/4 in Sur-Fit High Output",
      "code_information": [
        {
          "code": "PX-CH-CV4015-57",
          "type": "CDM"
        },
        {
          "code": "A4413",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 9.62,
          "discounted_cash": 6.25,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.08
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 7.78
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7.02
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.18
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.18
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7.02
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 7.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7.02
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.29
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.08
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 7.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.35
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6.26
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.89
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.29
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.89
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6.26
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.18
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.18
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 2.63
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 7.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.89
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 7.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 8.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.89
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.29
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.18
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 7.78
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 5.34
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 9.62
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 6.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.89
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 7.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 6.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 5.34
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 5.34
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 8.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 8.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.29
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 7.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7.02
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.18
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.08
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.29
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.89
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.29
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7.02
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 5.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.89
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 10.03,
          "discounted_cash": 6.52,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.03,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.53
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 6.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.03,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.34
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 8.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.22
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 8.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6.53
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7.32
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 2.74
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.22
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.52
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.03,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.03,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.03,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.22
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.52
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 8.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.03,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.03,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.03,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.03,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.03,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7.32
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 8.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.22
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 8.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.03,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6.53
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 5.57
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.03,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7.32
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 5.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.03,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.03,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 5.57
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.53
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 7.52
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 7.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.03,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 8.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6.53
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 5.57
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.34
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.22
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.03,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.03,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7.32
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 8.11
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 10.03
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.53
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 6.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.34
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.22
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.44
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.53
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.53
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.52
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.52
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 8.31
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 7.52
            }
          ]
        }
      ]
    },
    {
      "description": "2 Pc Pre Cut Std Wear 1 1/4 in New Image",
      "code_information": [
        {
          "code": "PX-CH-HO14306",
          "type": "CDM"
        },
        {
          "code": "A4414",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2.74,
          "discounted_cash": 1.78,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.51
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2.27
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.52
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.78
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.78
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.33
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.51
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.33
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.51
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2.27
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.78
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.33
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.51
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2.27
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.09
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.52
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2.74,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1.81
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.33
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 2.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.51
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.52
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2.74,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.33
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.25
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.25
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.33
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2.22
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2.22
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.78
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2.74
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.33
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.78
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.52
            }
          ]
        }
      ]
    },
    {
      "description": "\"Adhesive Drsg Sheer 2\"\" X 4\"\" X-Large Fabric Cardinal\"",
      "code_information": [
        {
          "code": "PX-CH-A1-CBDF24XL",
          "type": "CDM"
        },
        {
          "code": "A6413",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.18,
          "discounted_cash": 0.12,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.18,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.18,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.18,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 0.18,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.18,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.18,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.18,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.18,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.18,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.18,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.18,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 0.18,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.18,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.18,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.18,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.18,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.18,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.18,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.18,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.1
            }
          ]
        }
      ]
    },
    {
      "description": "Compression System Cardinal 3 Layer",
      "code_information": [
        {
          "code": "PX-CH-55CAHMLCB3",
          "type": "CDM"
        },
        {
          "code": "A6454",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 15.52,
          "discounted_cash": 10.09,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9.81
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.52,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.52,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10.1
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.19
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 11.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11.33
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 12.73
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 12.87
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 12.87
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9.81
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.52,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 11.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 15.52
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 8.61
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 15.52,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9.81
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.52,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 12.73
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.54
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.52,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.52,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 11.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 11.86
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 8.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11.33
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.19
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 11.64
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 10.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.54
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 12.87
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.52,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.52,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11.33
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.52,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 4.24
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 11.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 12.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10.1
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.52,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 8.61
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.52,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.52,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 12.73
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.52,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.52,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 11.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 12.73
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.54
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.19
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.19
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9.81
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 11.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11.33
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 15.52,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 11.86
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 12.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.52,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 13.61
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 12.73
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.52,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.52,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.52,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 12.73
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 12.73
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9.81
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.52,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.52,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 13.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11.33
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 8.61
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 13.61
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 12.73
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.54
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.54
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.52,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            }
          ]
        }
      ]
    },
    {
      "description": "Gauze Sponge Sterile 8-Ply 4 in X 4 in 8 Ply",
      "code_information": [
        {
          "code": "PX-CH-KN2187",
          "type": "CDM"
        },
        {
          "code": "A6402",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.09,
          "discounted_cash": 0.06,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "2 Pc Pouch 1 3/4 in Sur-Fit Invisclose W/ Filter",
      "code_information": [
        {
          "code": "PX-CH-CV4113-10",
          "type": "CDM"
        },
        {
          "code": "A4425",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 5.39,
          "discounted_cash": 3.5,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.96
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.39,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.39,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.39,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.39,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.58
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.51
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.39,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.39,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.39,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.39,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4.36
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.93
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.99
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.58
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.96
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.39,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.41
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.96
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.39,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.39,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.39,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4.36
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5.39,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.39,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.39,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.51
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.93
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.93
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.99
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.99
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.58
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5.39,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.47
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.47
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.58
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 4.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.47
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.39,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.39,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.39,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.39,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.39,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.39,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.93
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.99
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.39,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 3.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.39,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.39,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.51
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.93
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.42
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.39,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.39,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.58
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.96
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.39,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.39,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.39,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.39,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.39,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.39,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.39,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4.36
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.93
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 5.39
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1.47
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.42
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.41
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.39,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.39,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.39,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.93
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5.39,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.39,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.39,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.39,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.39,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.93
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.93
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.99
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4.04
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.47
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.39,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.39,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.39,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.42
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.39,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.39,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.39,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.39,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.39,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.39,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.99
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.58
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.58
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.39,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.39,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.39,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 5.39
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.96
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.39,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.39,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 4.74
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.96
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.39,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.39,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.39,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.39,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.39,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.39,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.39,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.39,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.93
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.58
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.58
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4.04
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4.04
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 3.56
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.39,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.39,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.93
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.58
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.96
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.39,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.39,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.42
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.39,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.39,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.51
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.39,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.58
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5.39,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.39,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.39,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.51
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.93
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.99
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.39,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4.73
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.96
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.39,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.39,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.39,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.39,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4.36
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.99
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.41
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.47
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.39,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 6.37,
          "discounted_cash": 4.14,
          "payers_information": [
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.22
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 5.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.37,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1.74
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.22
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 5.28
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.37,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.37,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4.15
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4.78
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 6.37,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.87
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.37,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 5.59
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.5
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.37,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.37,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.03
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4.15
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 5.15
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.54
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 6.37,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.37,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.5
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.37,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.37,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.37,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 5.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.65
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.65
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 6.37
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.41
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 5.59
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.22
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.37,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4.15
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 4.2
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.03
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.37,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.37,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.65
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.65
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.54
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.37,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.41
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.22
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.37,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.37,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 5.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.22
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.41
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.41
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.22
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.37,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 5.28
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.37,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.87
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.65
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.65
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.41
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.41
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.37,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.09
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.37,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.37,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 6.11,
          "discounted_cash": 3.97,
          "payers_information": [
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.92
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.01
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.86
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.36
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 5.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.46
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.46
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 6.11,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.01
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.01
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4.58
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.19
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.01
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.92
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.46
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.86
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.01
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.36
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.01
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.92
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.98
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.67
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.98
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.39
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 6.11,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.36
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.19
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 5.07
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.39
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.86
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.46
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 6.11
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.98
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.19
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 4.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 5.36
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.01
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.98
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4.58
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.19
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 5.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 5.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.86
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.01
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 5.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.67
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4.94
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.19
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.46
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.86
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.36
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.36
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.11,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "Presence Pad Super Absorbency Plus 4 X 12.5 In",
      "code_information": [
        {
          "code": "PX-CH-KN1140A",
          "type": "CDM"
        },
        {
          "code": "T4535",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.45,
          "discounted_cash": 0.29,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.38
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.38
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.38
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.38
            }
          ]
        }
      ]
    },
    {
      "description": "Ted Stocking Knee High X-Large/Long",
      "code_information": [
        {
          "code": "PX-CH-KN7802",
          "type": "CDM"
        },
        {
          "code": "A6530",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 11.17,
          "discounted_cash": 7.26,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7.27
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 11.17,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 7.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.17
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7.27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 9.04
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7.27
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.14
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 9.26
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 8.38
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8.15
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 3.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 36.93,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 36.93,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 8.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.06
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 36.93,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 37.3,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.14
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.49
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.49
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 9.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 9.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.14
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8.53
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 11.17
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7.27
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 6.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 6.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 9.04
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 6.2
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.49
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 9.8
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.49
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.16
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 36.93,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 37.3,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8.15
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 6.2
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.17
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 36.93,
              "estimated_amount": 36.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.06
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 36.93,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 37.3,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 36.93,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 37.3,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 9.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8.15
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 36.93,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 36.93,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.49
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 36.93,
              "estimated_amount": 36.93
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 11.17,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7.27
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8.15
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8.15
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 8.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.16
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 36.93,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 38.78,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.16
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 9.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8.53
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 36.93,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 36.93,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.14
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.14
            }
          ],
          "minimum": 36.93,
          "maximum": 36.93
        }
      ]
    },
    {
      "description": "HC Fsed Amylase",
      "code_information": [
        {
          "code": "PX-30101203",
          "type": "CDM"
        },
        {
          "code": "82150",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 83,
          "discounted_cash": 53.95,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 52.46
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.48,
              "estimated_amount": 6.48
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.48,
              "estimated_amount": 6.48
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 6.48,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 6.54,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 70.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 53.29
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 60.59
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 6.48,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 6.48,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 62.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.3,
              "estimated_amount": 24.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 54.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 54.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 67.15
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 83
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 68.06
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 6.48,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 6.8,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 52.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 52.46
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 45.65
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 6.48,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 6.8,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 70.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.3,
              "estimated_amount": 24.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.3,
              "estimated_amount": 24.3
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 60.59
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 70.55
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 70.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 52.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 68.06
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 83,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 68.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 68.06
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 6.48,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 6.54,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 53.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 53.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.3,
              "estimated_amount": 24.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.3,
              "estimated_amount": 24.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 54.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 54.03
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 6.48,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 6.48,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 62.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 53.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.3,
              "estimated_amount": 24.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.3,
              "estimated_amount": 24.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.3,
              "estimated_amount": 24.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.3,
              "estimated_amount": 24.3
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 60.59
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.47,
              "estimated_amount": 9.47
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.47,
              "estimated_amount": 9.47
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 70.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 45.65
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 62.25
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 70.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 53.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.3,
              "estimated_amount": 24.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.3,
              "estimated_amount": 24.3
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 70.55
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 22.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 53.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 53.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.3,
              "estimated_amount": 24.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 46.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 52.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 68.06
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 45.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 6.48,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 6.54,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 68.81
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.48,
              "estimated_amount": 6.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 53.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 63.41
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 60.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 63.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.3,
              "estimated_amount": 24.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 67.15
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 60.59
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 60.59
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 46.07
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 70.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 52.46
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 45.65
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 45.65
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 68.81
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.48,
              "estimated_amount": 6.48
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 70.55
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 6.48,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 6.48,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 70.55
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 70.55
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 54.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 63.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.3,
              "estimated_amount": 24.3
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 70.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 72.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 52.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 72.79
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 45.65
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 6.48,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 6.8,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.48,
              "estimated_amount": 6.48
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 83,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 53.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 53.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.3,
              "estimated_amount": 24.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.3,
              "estimated_amount": 24.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 54.03
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 46.07
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 70.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 52.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 68.06
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 6.48,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 6.54,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 68.81
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 83,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 73.04
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 6.48,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 6.54,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.48,
              "estimated_amount": 6.48
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.48,
              "estimated_amount": 6.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 63.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 53.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.3,
              "estimated_amount": 24.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 46.07
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 70.55
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.47,
              "estimated_amount": 9.47
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 53.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 68.06
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 45.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 63.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 53.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 63.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 68.06
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 6.48,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 6.8,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            }
          ],
          "minimum": 6.48,
          "maximum": 24.3
        }
      ]
    },
    {
      "description": "HC Fsed Alkaline Phosphatase Alk Phos",
      "code_information": [
        {
          "code": "PX-30101216",
          "type": "CDM"
        },
        {
          "code": "84075",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 10,
          "discounted_cash": 6.5,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 4.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.18,
              "estimated_amount": 5.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.43,
              "estimated_amount": 19.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.43,
              "estimated_amount": 19.43
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7.3
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7.3
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 5.18,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 5.18,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.41,
              "estimated_amount": 12.41
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.2
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 5.18,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 5.44,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.18,
              "estimated_amount": 5.18
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 10,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 10,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 4.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 5.18,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 5.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.18,
              "estimated_amount": 5.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.91,
              "estimated_amount": 12.91
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.26,
              "estimated_amount": 4.26
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.56,
              "estimated_amount": 7.56
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 7.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.43,
              "estimated_amount": 19.43
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 4.5
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 5.18,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 5.44,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 5.18,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 5.44,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 7.5
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 10,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.2
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.56,
              "estimated_amount": 7.56
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.41,
              "estimated_amount": 12.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.91,
              "estimated_amount": 12.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.91,
              "estimated_amount": 12.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.91,
              "estimated_amount": 12.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.91,
              "estimated_amount": 12.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.43,
              "estimated_amount": 19.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.43,
              "estimated_amount": 19.43
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7.3
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.5
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.5
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.91,
              "estimated_amount": 12.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.91,
              "estimated_amount": 12.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.43,
              "estimated_amount": 19.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 4.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 5.18,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 5.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 5.18,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 5.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 8.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 4.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 5.18,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 5.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.43,
              "estimated_amount": 19.43
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 10
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.26,
              "estimated_amount": 4.26
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.5
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 6.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.91,
              "estimated_amount": 12.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.41,
              "estimated_amount": 12.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.41,
              "estimated_amount": 12.41
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 4.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 4.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 4.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.5
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.18,
              "estimated_amount": 5.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.91,
              "estimated_amount": 12.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.43,
              "estimated_amount": 19.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.43,
              "estimated_amount": 19.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 5
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 5.18,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 5.18,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.43,
              "estimated_amount": 19.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.43,
              "estimated_amount": 19.43
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.26,
              "estimated_amount": 4.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.2
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.18,
              "estimated_amount": 5.18
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 5.18,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 5.44,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.91,
              "estimated_amount": 12.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.41,
              "estimated_amount": 12.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.43,
              "estimated_amount": 19.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.43,
              "estimated_amount": 19.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.43,
              "estimated_amount": 19.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 5
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 5.18,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 5.18,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 25,
              "estimated_amount": 2.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 4.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.5
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.91,
              "estimated_amount": 12.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.91,
              "estimated_amount": 12.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.43,
              "estimated_amount": 19.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.43,
              "estimated_amount": 19.43
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.26,
              "estimated_amount": 4.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.2
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 4.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.43,
              "estimated_amount": 19.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.41,
              "estimated_amount": 12.41
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7.3
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.5
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.56,
              "estimated_amount": 7.56
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 6.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 5.18,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 5.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.18,
              "estimated_amount": 5.18
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 7.5
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.18,
              "estimated_amount": 5.18
            }
          ],
          "minimum": 4.26,
          "maximum": 19.43
        }
      ]
    },
    {
      "description": "Catheter External All Silicone Medium 29 Mm Standard Wear",
      "code_information": [
        {
          "code": "PX-CH-HO97529",
          "type": "CDM"
        },
        {
          "code": "A4349",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2.11,
          "discounted_cash": 1.37,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.33
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.33
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.75
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.37
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.37
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.17
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.17
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.79
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.79
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1.39
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.33
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1.71
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2.11
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.33
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1.71
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 1.37
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.75
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.37
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.17
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.33
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.79
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.37
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.79
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.33
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.33
            }
          ]
        }
      ]
    },
    {
      "description": "Cream Atrac-Tain 2 Oz",
      "code_information": [
        {
          "code": "PX-CH-SW1802",
          "type": "CDM"
        },
        {
          "code": "A6250",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 12.49,
          "discounted_cash": 8.12,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 10.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.49,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 10.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 6.93
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 9.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 10.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.02
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 8.13
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 9.12
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 9.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.02
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 8.13
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.62
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 8.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.89
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.62
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 10.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.49,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 8.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.49,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.49,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 12.49,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.89
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 12.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.89
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 10.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.87
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 10.35
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.49,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.62
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 9.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.49,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.49,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 12.49,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 10.24
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 10.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 9.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.49,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.49,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 8.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 8.13
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 9.12
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 9.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.49,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.49,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 9.12
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 9.12
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 6.93
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 9.37
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 10.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.87
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 12.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 12.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 10.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.89
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 10.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.87
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.87
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 10.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.02
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.62
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 3.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 10.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 6.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.89
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 10.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.49,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.49,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 9.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.49,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 12.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 12.49
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 12.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.89
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.89
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 10.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.87
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 12.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.49,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 9.12
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 6.93
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 12.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.49,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 12.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.87
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 12.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 9.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 9.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.49,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 12.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.62
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.62
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 10.24
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 9.37
            }
          ]
        }
      ]
    },
    {
      "description": "FAMOTIDINE 20 MG TABLET",
      "drug_information": {
        "unit": "1",
        "type": "UN"
      },
      "code_information": [
        {
          "code": "RX-10011",
          "type": "CDM"
        },
        {
          "code": "63700001",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 4.85,
          "discounted_cash": 3.15,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.05
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.98
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.67
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.67
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.16
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3.92
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.69
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.98
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 3.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.16
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.54
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.69
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3.92
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1.32
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 3.15
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.64
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.05
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.54
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.69
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.12
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.16
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.54
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 4.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 3.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.16
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 3.15
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.12
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 3.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.07
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.67
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.67
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.05
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 4.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 3.15
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.54
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.69
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.07
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.67
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.02
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.12
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.05
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.11
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.98
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.98
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.98
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.67
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.05
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.98
            }
          ]
        }
      ]
    },
    {
      "description": "IBUTILIDE FUMARATE 0.1 MG/ML INTRAVENOUS SOLUTION",
      "drug_information": {
        "unit": "10",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-100740",
          "type": "CDM"
        },
        {
          "code": "J1742",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2581.5,
          "discounted_cash": 1677.97,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1631.51
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 69.68,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 68.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 69.68,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1657.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2088.43
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1936.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1657.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1972.27
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 68.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1631.51
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1419.83
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1419.83
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 68.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 72.44,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2194.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1657.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1972.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 625.41,
              "estimated_amount": 625.41
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1936.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 625.41,
              "estimated_amount": 625.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 625.41,
              "estimated_amount": 625.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1680.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 698.02,
              "estimated_amount": 698.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1631.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1631.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2116.83
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2116.83
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1936.13
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 69.68,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2581.5,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1657.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 625.41,
              "estimated_amount": 625.41
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1884.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2194.28
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 1677.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1657.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 625.41,
              "estimated_amount": 625.41
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 698.02,
              "estimated_amount": 698.02
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2194.28
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 704.75
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2194.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1631.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2116.83
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 68.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 72.44,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1631.51
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1419.83
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 68.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 72.44,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1657.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 625.41,
              "estimated_amount": 625.41
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 698.02,
              "estimated_amount": 698.02
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2194.28
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1703.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1972.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1657.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1680.56
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2194.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2263.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1631.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2116.83
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1419.83
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2194.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1657.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 625.41,
              "estimated_amount": 625.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 625.41,
              "estimated_amount": 625.41
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1884.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1884.5
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 68.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1972.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 625.41,
              "estimated_amount": 625.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 625.41,
              "estimated_amount": 625.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2088.43
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 68.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 698.02,
              "estimated_amount": 698.02
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2581.5,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 68.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2263.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1657.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1657.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1972.27
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 565.35
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2194.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 625.41,
              "estimated_amount": 625.41
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1884.5
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2581.5,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2116.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2140.06
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 2271.72
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1419.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2140.06
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2581.5,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 625.41,
              "estimated_amount": 625.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 625.41,
              "estimated_amount": 625.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1680.56
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1884.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 698.02,
              "estimated_amount": 698.02
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2194.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1657.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 625.41,
              "estimated_amount": 625.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1680.56
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2194.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1419.83
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 69.68,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2140.06
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 68.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2116.83
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2116.83
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1419.83
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 68.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 72.44,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2194.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1972.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 625.41,
              "estimated_amount": 625.41
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2194.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 625.41,
              "estimated_amount": 625.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1631.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2116.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1657.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 625.41,
              "estimated_amount": 625.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1680.56
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1884.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2194.28
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 69.68,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2581.5,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2194.28
            }
          ],
          "minimum": 625.41,
          "maximum": 698.02
        }
      ]
    },
    {
      "description": "LEVOBUNOLOL 0.5 % EYE DROPS",
      "drug_information": {
        "unit": "5",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-10394",
          "type": "CDM"
        },
        {
          "code": "63700001",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 72.45,
          "discounted_cash": 47.09,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 45.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 59.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 46.51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 47.16
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 61.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 46.51
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 40.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 45.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 59.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 59.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 59.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 45.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 52.89
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 61.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 55.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 46.51
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 39.85
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 61.58
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 39.85
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 63.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 46.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 45.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 47.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 45.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 46.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 46.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 46.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 45.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 45.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 45.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 47.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 58.61
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 52.89
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 19.78
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 47.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 63.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 45.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 59.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 59.41
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 39.85
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 60.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 45.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 46.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 47.02
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 58.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 47.16
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 40.21
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 72.45
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 61.58
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 54.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 45.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 52.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 45.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 45.79
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 61.58
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 39.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 39.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 55.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 45.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 47.02
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 47.16
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 40.21
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 61.58
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 54.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 46.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 45.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 45.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 45.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 59.41
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 60.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 55.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 46.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 45.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 40.21
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 61.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 45.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 45.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 47.16
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 61.58
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 39.85
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 61.58
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 54.34
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 39.85
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 60.06
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 61.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 55.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 46.51
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 52.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 55.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 59.41
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 52.89
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 47.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 55.35
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 52.89
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 61.58
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 61.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 63.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 46.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 47.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 45.5
            }
          ]
        }
      ]
    },
    {
      "description": "LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION",
      "drug_information": {
        "unit": "30",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-104207",
          "type": "CDM"
        },
        {
          "code": "25000049",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 84.95,
          "discounted_cash": 55.22,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 53.69
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 46.72
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 72.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 53.35
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 62.01
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 84.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 72.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 53.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 53.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 53.35
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 72.21
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 46.72
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 63.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 53.69
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 69.66
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 72.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 53.35
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 55.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 54.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 54.54
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 46.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 54.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 53.35
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 62.01
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 72.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 54.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 54.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 64.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 53.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 53.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 55.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 68.72
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 55.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 55.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 74.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 53.69
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 69.66
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 69.66
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 46.72
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 74.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 74.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 69.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 54.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 55.13
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 62.01
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 62.01
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 47.15
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 47.15
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 55.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 64.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 53.35
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 62.01
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 69.66
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 46.72
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 70.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 54.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 54.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 64.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 55.13
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 72.21
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 72.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 64.9
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 62.01
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 72.21
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 56.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 69.66
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 46.72
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 72.21
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 69.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 54.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 54.54
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 72.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 55.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 53.35
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 55.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 68.72
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 47.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 54.54
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 63.71
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 63.71
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 70.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 53.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 64.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 54.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 64.9
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 72.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 53.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 53.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 53.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 53.69
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 46.72
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 70.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 53.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 53.35
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 55.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 47.15
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 23.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 69.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 53.35
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 72.21
            }
          ]
        }
      ]
    },
    {
      "description": "LACTULOSE 20 GRAM/30 ML ORAL SOLUTION",
      "drug_information": {
        "unit": "30",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-104962",
          "type": "CDM"
        },
        {
          "code": "63700001",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 8.4,
          "discounted_cash": 5.46,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.39
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 6.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 5.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.47
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 6.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6.89
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6.89
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 5.28
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.42
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.47
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.14
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.14
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 6.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 7.37
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6.89
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.39
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 5.45
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.14
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 5.54
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6.89
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 6.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 5.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 5.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.47
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.13
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 2.29
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 5.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 7.37
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.39
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.13
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 5.28
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.31
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6.89
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6.89
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6.89
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6.89
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.62
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.62
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.62
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 6.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 5.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 5.45
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.13
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 8.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 5.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 6.8
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 5.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.31
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 6.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.39
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 5.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.47
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.14
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 5.28
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4.66
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4.66
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.14
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 6.3
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 5.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 5.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 5.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 5.28
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 5.28
            },
            {
              "payer_name": "OSU [553]",
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              "standard_charge_percentage": 73,
              "estimated_amount": 6.13
            },
            {
              "payer_name": "HEALTHREACH [540]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 4.62
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 7.39
            }
          ]
        }
      ]
    },
    {
      "description": "FIBRINOGEN-THROMBIN 4.8 CM X 4.8 CM TOPICAL PATCH",
      "drug_information": {
        "unit": "1",
        "type": "UN"
      },
      "code_information": [
        {
          "code": "RX-105431",
          "type": "CDM"
        },
        {
          "code": "25000049",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1337.85,
          "discounted_cash": 869.6,
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            {
              "payer_name": "MMO [485]",
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              "estimated_amount": 845.52
            },
            {
              "payer_name": "HEALTHREACH [540]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 735.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
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              "estimated_amount": 735.82
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 76.4,
              "estimated_amount": 1022.12
            },
            {
              "payer_name": "AETNA [310]",
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              "estimated_amount": 1022.12
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 840.17
            },
            {
              "payer_name": "PARAMOUNT [555]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 1137.17
            },
            {
              "payer_name": "HEALTHLINK [443]",
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              "standard_charge_percentage": 75,
              "estimated_amount": 1003.39
            },
            {
              "payer_name": "UHC [625]",
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            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 64.9,
              "estimated_amount": 868.26
            },
            {
              "payer_name": "MMO [485]",
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            {
              "payer_name": "MMO [485]",
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              "estimated_amount": 845.52
            },
            {
              "payer_name": "HEALTHREACH [540]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 735.82
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 858.9
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 840.17
            },
            {
              "payer_name": "CIGNA [370]",
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              "standard_charge_percentage": 80.9,
              "estimated_amount": 1082.32
            },
            {
              "payer_name": "SEORMC [545]",
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              "standard_charge_percentage": 66,
              "estimated_amount": 882.98
            },
            {
              "payer_name": "GREATWEST [550]",
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              "standard_charge_percentage": 82.9,
              "estimated_amount": 1109.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
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              "standard_charge_percentage": 82,
              "estimated_amount": 1097.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 735.82
            },
            {
              "payer_name": "GREATWEST [550]",
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              "standard_charge_percentage": 82.9,
              "estimated_amount": 1109.08
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 76.4,
              "estimated_amount": 1022.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 840.17
            },
            {
              "payer_name": "OSU [553]",
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              "standard_charge_percentage": 73,
              "estimated_amount": 976.63
            },
            {
              "payer_name": "PARAMOUNT [555]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 1137.17
            },
            {
              "payer_name": "HEALTHLINK [443]",
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              "standard_charge_percentage": 75,
              "estimated_amount": 1003.39
            },
            {
              "payer_name": "OSU [553]",
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              "estimated_amount": 976.63
            },
            {
              "payer_name": "HEALTHSMART [493]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 1137.17
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
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              "standard_charge_percentage": 82,
              "estimated_amount": 1097.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 735.82
            },
            {
              "payer_name": "AHPO [305]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 1137.17
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 76.4,
              "estimated_amount": 1022.12
            },
            {
              "payer_name": "COVENTRY [406]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 1137.17
            },
            {
              "payer_name": "HEALTHSMART [493]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 1137.17
            },
            {
              "payer_name": "MMO [485]",
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              "standard_charge_percentage": 63.2,
              "estimated_amount": 845.52
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
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              "standard_charge_percentage": 82,
              "estimated_amount": 1097.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 735.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
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              "standard_charge_percentage": 82,
              "estimated_amount": 1097.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
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              "standard_charge_percentage": 82,
              "estimated_amount": 1097.04
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 858.9
            },
            {
              "payer_name": "OSU [553]",
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              "standard_charge_percentage": 73,
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            },
            {
              "payer_name": "ANTHEM [335]",
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              "standard_charge_percentage": 55.5,
              "estimated_amount": 742.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 858.9
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 76.4,
              "estimated_amount": 1022.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 840.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 840.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 840.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
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              "standard_charge_percentage": 64.9,
              "estimated_amount": 868.26
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 1137.17
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 858.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 858.9
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1137.17
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 840.17
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 840.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 840.17
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 840.17
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
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              "standard_charge_percentage": 80.9,
              "estimated_amount": 1082.32
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
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              "standard_charge_percentage": 73,
              "estimated_amount": 976.63
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
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              "standard_charge_percentage": 55.5,
              "estimated_amount": 742.51
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 840.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
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              "standard_charge_percentage": 64.9,
              "estimated_amount": 868.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 840.17
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
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              "standard_charge_percentage": 65.1,
              "estimated_amount": 870.94
            },
            {
              "payer_name": "OSU [553]",
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              "standard_charge_percentage": 73,
              "estimated_amount": 976.63
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 1137.17
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
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              "standard_charge_percentage": 82.9,
              "estimated_amount": 1109.08
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1137.17
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1003.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1097.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 735.82
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 858.9
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 858.9
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
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              "standard_charge_percentage": 55.5,
              "estimated_amount": 742.51
            },
            {
              "payer_name": "ANTHEM [335]",
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              "standard_charge_percentage": 55.5,
              "estimated_amount": 742.51
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
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              "standard_charge_percentage": 27.3,
              "estimated_amount": 365.23
            },
            {
              "payer_name": "AETNA [310]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 858.9
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 858.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 845.52
            },
            {
              "payer_name": "MMO [485]",
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              "standard_charge_percentage": 63.2,
              "estimated_amount": 845.52
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1177.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1173.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 845.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 845.52
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1097.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
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              "standard_charge_percentage": 82,
              "estimated_amount": 1097.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
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              "standard_charge_percentage": 64.9,
              "estimated_amount": 868.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
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              "standard_charge_percentage": 65.1,
              "estimated_amount": 870.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 870.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 858.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1022.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 858.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 870.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 870.94
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 976.63
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1337.85
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 869.6
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1137.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 858.9
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1137.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1173.29
            }
          ]
        }
      ]
    },
    {
      "description": "METHADONE 10 MG/ML INJECTION SOLUTION",
      "drug_information": {
        "unit": "20",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-10546",
          "type": "CDM"
        },
        {
          "code": "J1230",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2101,
          "discounted_cash": 1365.65,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1842.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1327.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1842.58
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1741.73
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1741.73
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2101,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1348.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1130,
              "estimated_amount": 1130
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1130,
              "estimated_amount": 1130
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 964.55,
              "estimated_amount": 964.55
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2101,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1605.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1605.16
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1533.73
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1785.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1785.85
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1575.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1722.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1155.55
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2101,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1722.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1722.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1155.55
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1848.88
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1533.73
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1575.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1348.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1367.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1699.71
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1367.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 964.55,
              "estimated_amount": 964.55
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 1365.65
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1155.55
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2101,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2101,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1785.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 964.55,
              "estimated_amount": 964.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1130,
              "estimated_amount": 1130
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1130,
              "estimated_amount": 1130
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1386.66
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1155.55
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1785.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1155.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2101,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2101,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2101,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1130,
              "estimated_amount": 1130
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1130,
              "estimated_amount": 1130
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1130,
              "estimated_amount": 1130
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1367.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1367.75
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1533.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1533.73
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1785.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1348.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1605.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1130,
              "estimated_amount": 1130
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1130,
              "estimated_amount": 1130
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1130,
              "estimated_amount": 1130
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1130,
              "estimated_amount": 1130
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1327.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1327.83
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2101,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1155.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1348.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1348.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1367.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 964.55,
              "estimated_amount": 964.55
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1785.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1130,
              "estimated_amount": 1130
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2101,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1327.83
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1722.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1327.83
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2101,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1348.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1348.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1130,
              "estimated_amount": 1130
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1130,
              "estimated_amount": 1130
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1327.83
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1722.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1722.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1722.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1155.55
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2101,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2101,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1575.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1327.83
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2101,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2101,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1348.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1348.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1348.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1130,
              "estimated_amount": 1130
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1130,
              "estimated_amount": 1130
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1605.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1130,
              "estimated_amount": 1130
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1533.73
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1785.85
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2101,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 460.12
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1785.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1722.82
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2101,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1741.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1348.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1605.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1699.71
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1533.73
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2101,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2101,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1785.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1785.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1785.85
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1785.85
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1785.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1605.16
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 964.55,
              "estimated_amount": 964.55
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 573.57
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2101,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1327.83
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2101,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2101,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2101,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1348.84
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2101,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1785.85
            }
          ],
          "minimum": 964.55,
          "maximum": 1130
        }
      ]
    },
    {
      "description": "CEFEPIME 2 GRAM/50 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK",
      "drug_information": {
        "unit": "50",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-105552",
          "type": "CDM"
        },
        {
          "code": "J0703",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 125.3,
          "discounted_cash": 81.44,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 109.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 79.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 79.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 102.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 102.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 102.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 68.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 80.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 80.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 80.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 80.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 55.6,
              "estimated_amount": 55.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 55.6,
              "estimated_amount": 55.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 81.57
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 106.51
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 93.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 95.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 95.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 55.6,
              "estimated_amount": 55.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 55.6,
              "estimated_amount": 55.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 55.6,
              "estimated_amount": 55.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 101.37
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 79.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 79.19
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 106.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 80.44
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 106.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 95.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 80.44
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 82.7
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 103.87
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 93.98
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 106.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 80.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 80.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 55.6,
              "estimated_amount": 55.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 55.6,
              "estimated_amount": 55.6
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 91.47
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 93.98
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 125.3,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 55.6,
              "estimated_amount": 55.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 55.6,
              "estimated_amount": 55.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 101.37
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 46.33,
              "estimated_amount": 46.33
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 81.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 79.19
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 68.92
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 125.3,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 68.92
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 106.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 80.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 95.73
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 46.33,
              "estimated_amount": 46.33
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 106.51
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 106.51
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 106.51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 81.57
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 102.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 79.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 55.6,
              "estimated_amount": 55.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 81.57
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 91.47
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 34.21
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 106.51
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 91.47
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 106.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 102.75
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 103.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 79.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 80.44
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 125.3,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 55.6,
              "estimated_amount": 55.6
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 91.47
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 46.33,
              "estimated_amount": 46.33
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 46.33,
              "estimated_amount": 46.33
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 106.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 95.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 55.6,
              "estimated_amount": 55.6
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 106.51
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 125.3,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 106.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 102.75
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 125.3,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 102.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 68.92
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 103.87
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 125.3,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 80.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 55.6,
              "estimated_amount": 55.6
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 91.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 95.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 109.89
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 102.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 79.19
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 68.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 68.92
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 106.51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 81.57
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 81.57
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 91.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 80.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 55.6,
              "estimated_amount": 55.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 55.6,
              "estimated_amount": 55.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 55.6,
              "estimated_amount": 55.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 46.33,
              "estimated_amount": 46.33
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 68.92
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 110.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 55.6,
              "estimated_amount": 55.6
            }
          ],
          "minimum": 46.33,
          "maximum": 55.6
        }
      ]
    },
    {
      "description": "METOLAZONE 2.5 MG TABLET",
      "drug_information": {
        "unit": "1",
        "type": "UN"
      },
      "code_information": [
        {
          "code": "RX-10587",
          "type": "CDM"
        },
        {
          "code": "63700001",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 12.2,
          "discounted_cash": 7.93,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.71
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 9.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 9.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 7.66
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8.91
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 8.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.71
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 10.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 7.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 7.66
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8.91
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 7.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 7.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.71
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 10
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 10
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.71
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 9.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 7.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 7.66
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 7.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 7.92
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 9.87
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.37
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 10.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 10
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.71
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.71
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.71
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 10
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.37
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7.94
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.37
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.37
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 10
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.71
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.71
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 7.66
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 9.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 9.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 7.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 7.66
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 9.15
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 10.11
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 6.71
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 10.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 9.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 7.92
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 12.2
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 9.32
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 3.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 10.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 7.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7.94
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 6.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 9.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 7.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 7.66
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 6.77
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 10
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 10.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.83
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 9.87
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 6.77
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 6.77
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.37
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 7.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 7.66
            },
            {
              "payer_name": "OSU [553]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8.91
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8.91
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 10
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
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              "standard_charge_percentage": 82,
              "estimated_amount": 10
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.83
            },
            {
              "payer_name": "OSU [553]",
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              "standard_charge_percentage": 73,
              "estimated_amount": 8.91
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 10.37
            },
            {
              "payer_name": "HEALTHSMART [493]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 10.37
            }
          ]
        }
      ]
    },
    {
      "description": "PYRIDOSTIGMINE BROMIDE 60 MG/5 ML ORAL SYRUP",
      "drug_information": {
        "unit": "1.7",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-11238",
          "type": "CDM"
        },
        {
          "code": "63700001",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 10.35,
          "discounted_cash": 6.73,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 6.72
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
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              "standard_charge_percentage": 65.1,
              "estimated_amount": 6.74
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 5.74
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.8
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 2.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 6.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 10.35
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 6.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.54
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.69
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.69
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.64
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 8.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6.74
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7.56
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7.56
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6.74
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.49
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.49
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.69
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 8.58
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.8
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 6.72
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 8.37
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 5.74
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.49
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 8.58
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 6.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7.56
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 6.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 6.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.54
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.69
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.91
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 6.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 6.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 6.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.8
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 6.73
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 7.76
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.54
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.69
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 9.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 9.08
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.91
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 6.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.49
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 9.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 6.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 8.37
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 7.76
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 5.74
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 6.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.8
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 6.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 6.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 6.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 6.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.64
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 7.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 6.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 5.74
            }
          ]
        }
      ]
    },
    {
      "description": "PYRIDOSTIGMINE BROMIDE 60 MG TABLET",
      "drug_information": {
        "unit": "1",
        "type": "UN"
      },
      "code_information": [
        {
          "code": "RX-11239",
          "type": "CDM"
        },
        {
          "code": "63700001",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 63.1,
          "discounted_cash": 41.01,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
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              "standard_charge_percentage": 87.7,
              "estimated_amount": 55.34
            },
            {
              "payer_name": "MMO [485]",
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              "standard_charge_percentage": 63.2,
              "estimated_amount": 39.88
            },
            {
              "payer_name": "MMO [485]",
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              "standard_charge_percentage": 63.2,
              "estimated_amount": 39.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 40.51
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 76.4,
              "estimated_amount": 48.21
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 40.51
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 76.4,
              "estimated_amount": 48.21
            },
            {
              "payer_name": "GREATWEST [550]",
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              "standard_charge_percentage": 82.9,
              "estimated_amount": 52.31
            },
            {
              "payer_name": "OSU [553]",
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              "standard_charge_percentage": 73,
              "estimated_amount": 46.06
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 40.51
            },
            {
              "payer_name": "MMO [485]",
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              "standard_charge_percentage": 63.2,
              "estimated_amount": 39.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
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            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
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              "standard_charge_percentage": 82,
              "estimated_amount": 51.74
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
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              "standard_charge_percentage": 82,
              "estimated_amount": 51.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 40.51
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 76.4,
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            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 40.51
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 64.9,
              "estimated_amount": 40.95
            },
            {
              "payer_name": "CIGNA [370]",
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              "standard_charge_percentage": 65.1,
              "estimated_amount": 41.08
            },
            {
              "payer_name": "FIRST HEALTH [408]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 53.64
            },
            {
              "payer_name": "SEORMC [545]",
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              "standard_charge_percentage": 66,
              "estimated_amount": 41.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 39.63
            },
            {
              "payer_name": "CIGNA [370]",
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              "standard_charge_percentage": 65.1,
              "estimated_amount": 41.08
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 34.71
            },
            {
              "payer_name": "MMO [485]",
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              "estimated_amount": 39.88
            },
            {
              "payer_name": "MMO [485]",
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            },
            {
              "payer_name": "MMO [485]",
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              "standard_charge_percentage": 63.2,
              "estimated_amount": 39.88
            },
            {
              "payer_name": "HEALTHREACH [540]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 34.71
            },
            {
              "payer_name": "GREATWEST [550]",
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              "standard_charge_percentage": 82.9,
              "estimated_amount": 52.31
            },
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              "payer_name": "OSU [553]",
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            },
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              "payer_name": "PARAMOUNT [555]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 53.64
            },
            {
              "payer_name": "COFINITY [407]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 53.64
            },
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              "payer_name": "UHC [625]",
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            },
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              "payer_name": "HEALTHSMART [493]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 53.64
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
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              "standard_charge_percentage": 75,
              "estimated_amount": 47.33
            },
            {
              "payer_name": "EMERALD [395]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 53.64
            },
            {
              "payer_name": "MMO [485]",
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              "standard_charge_percentage": 87.7,
              "estimated_amount": 55.34
            },
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              "payer_name": "AETNA [310]",
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              "estimated_amount": 48.21
            },
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              "payer_name": "UHC [625]",
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              "estimated_amount": 39.63
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 39.63
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
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              "standard_charge_percentage": 55.5,
              "estimated_amount": 35.02
            },
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              "payer_name": "PARAMOUNT [555]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 53.64
            },
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              "payer_name": "OSU [553]",
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              "estimated_amount": 46.06
            },
            {
              "payer_name": "ANTHEM [335]",
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              "standard_charge_percentage": 55.5,
              "estimated_amount": 35.02
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
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              "standard_charge_percentage": 27.3,
              "estimated_amount": 17.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
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              "standard_charge_percentage": 82,
              "estimated_amount": 51.74
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 76.4,
              "estimated_amount": 48.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
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              "standard_charge_percentage": 63.2,
              "estimated_amount": 39.88
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 34.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 40.51
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 40.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 39.63
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 41.08
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
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              "standard_charge_percentage": 100,
              "estimated_amount": 63.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 39.63
            },
            {
              "payer_name": "ANTHEM [335]",
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              "standard_charge_percentage": 55.5,
              "estimated_amount": 35.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
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              "standard_charge_percentage": 82,
              "estimated_amount": 51.74
            },
            {
              "payer_name": "HEALTHREACH [540]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 34.71
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 40.51
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 40.51
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 40.51
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 40.51
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
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              "standard_charge_percentage": 82.9,
              "estimated_amount": 52.31
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 53.64
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 39.63
            },
            {
              "payer_name": "CIGNA [370]",
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              "standard_charge_percentage": 80.9,
              "estimated_amount": 51.05
            },
            {
              "payer_name": "PARAMOUNT [555]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 53.64
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 39.63
            },
            {
              "payer_name": "UHC [625]",
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              "estimated_amount": 40.95
            },
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              "payer_name": "OHIO HEALTH CHOICE [535]",
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              "standard_charge_percentage": 82,
              "estimated_amount": 51.74
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
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              "standard_charge_percentage": 82,
              "estimated_amount": 51.74
            },
            {
              "payer_name": "HEALTHREACH [540]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 34.71
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
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              "standard_charge_percentage": 88,
              "estimated_amount": 55.53
            },
            {
              "payer_name": "UHC [625]",
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              "estimated_amount": 39.63
            },
            {
              "payer_name": "CIGNA [370]",
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              "standard_charge_percentage": 65.1,
              "estimated_amount": 41.08
            },
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              "payer_name": "OSU [553]",
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              "standard_charge_percentage": 73,
              "estimated_amount": 46.06
            },
            {
              "payer_name": "OSU [553]",
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              "standard_charge_percentage": 73,
              "estimated_amount": 46.06
            },
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              "payer_name": "ANTHEM [335]",
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              "standard_charge_percentage": 55.5,
              "estimated_amount": 35.02
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 41.02
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 53.64
            },
            {
              "payer_name": "HEALTHLINK [443]",
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              "standard_charge_percentage": 75,
              "estimated_amount": 47.33
            },
            {
              "payer_name": "AHPO [305]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 53.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
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              "standard_charge_percentage": 82,
              "estimated_amount": 51.74
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 40.51
            },
            {
              "payer_name": "CIGNA [370]",
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              "standard_charge_percentage": 80.9,
              "estimated_amount": 51.05
            },
            {
              "payer_name": "HEALTHLINK [443]",
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              "standard_charge_percentage": 75,
              "estimated_amount": 47.33
            },
            {
              "payer_name": "COVENTRY [406]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 53.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 39.63
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 39.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
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              "standard_charge_percentage": 64.9,
              "estimated_amount": 40.95
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 64.9,
              "estimated_amount": 40.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 39.63
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 41.08
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 46.06
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 34.71
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 53.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 39.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 39.88
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 34.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 48.21
            }
          ]
        }
      ]
    },
    {
      "description": "TIMOLOL MALEATE 0.5 % EYE DROPS",
      "drug_information": {
        "unit": "5",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-11562",
          "type": "CDM"
        },
        {
          "code": "63700001",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 27.75,
          "discounted_cash": 18.04,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 17.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 22.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 21.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 17.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 17.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 17.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 18.07
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 23.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 18.07
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 20.81
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 15.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 17.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 17.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 22.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 17.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 17.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 17.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 17.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 17.43
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 7.58
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 23.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 18.01
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 20.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 17.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 17.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 21.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 17.82
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 23.59
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 20.26
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 15.4
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 23.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 18.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 18.01
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 20.26
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 20.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 22.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 22.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 22.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 17.82
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 24.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 24.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 22.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 17.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 21.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 17.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 22.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 17.43
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 23.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 17.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 22.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 17.54
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 17.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 17.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 18.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 17.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 18.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 18.07
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 15.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 17.54
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 23.59
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 22.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 21.2
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 24.42
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 23.59
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 20.26
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 20.26
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 18.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 17.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 21.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 15.26
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 15.26
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 15.26
            },
            {
              "payer_name": "AETNA [310]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 17.82
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 23.59
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 15.4
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 18.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 17.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 17.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 17.54
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 15.26
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 23.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 17.43
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 23.59
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 20.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 18.07
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 22.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 15.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 27.75
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 23.59
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 23.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 17.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 21.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 17.82
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 23
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 20.81
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 15.26
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 15.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 17.82
            }
          ]
        }
      ]
    },
    {
      "description": "ZOLPIDEM 5 MG TABLET",
      "drug_information": {
        "unit": "1",
        "type": "UN"
      },
      "code_information": [
        {
          "code": "RX-11701",
          "type": "CDM"
        },
        {
          "code": "63700001",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 8.55,
          "discounted_cash": 5.56,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 7.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.7
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 7.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 5.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 5.37
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 6.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 5.37
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 7.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.49
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 5.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 5.37
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 6.92
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.24
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.24
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 5.37
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 6.92
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.27
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.49
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.27
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 7.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 5.55
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 2.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 5.37
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4.75
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 5.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.01
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.01
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.27
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.01
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.53
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 7.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 5.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 5.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 5.37
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.27
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.01
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 7.09
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.27
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.57
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.57
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 8.55
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 5.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 5.37
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.49
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 6.41
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 5.37
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.57
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.27
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 5.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 5.55
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.24
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.24
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 6.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 5.37
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.57
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.24
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4.75
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.27
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.27
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 5.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.49
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.57
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.27
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.7
            }
          ]
        }
      ]
    },
    {
      "description": "PHYTONADIONE (VITAMIN K1) 1 MG/0.5 ML INJECTION SYRINGE",
      "drug_information": {
        "unit": "0.25",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-117592",
          "type": "CDM"
        },
        {
          "code": "J3430",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 88.5,
          "discounted_cash": 57.52,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 77.61
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 72.57
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 48.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.8,
              "estimated_amount": 6.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.8,
              "estimated_amount": 6.8
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 64.61
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 64.61
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.55,
              "estimated_amount": 6.55
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 88.5,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.8,
              "estimated_amount": 6.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.8,
              "estimated_amount": 6.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 71.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 55.93
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 48.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 56.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 56.82
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 77.88
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 75.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 55.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 55.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 56.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 56.82
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 88.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 88.5,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.8,
              "estimated_amount": 6.8
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 88.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 75.23
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 75.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.8,
              "estimated_amount": 6.8
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 75.23
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 88.5,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 77.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 55.93
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 72.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 56.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 67.61
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 88.5,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 75.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 55.93
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 88.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 88.5,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 88.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.55,
              "estimated_amount": 6.55
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.55,
              "estimated_amount": 6.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.8,
              "estimated_amount": 6.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 57.61
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 72.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 56.82
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 88.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.8,
              "estimated_amount": 6.8
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 75.23
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 75.23
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 75.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.8,
              "estimated_amount": 6.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.8,
              "estimated_amount": 6.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.8,
              "estimated_amount": 6.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 57.61
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 24.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 55.93
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 72.57
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 72.57
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 48.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 56.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 56.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 67.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.8,
              "estimated_amount": 6.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.8,
              "estimated_amount": 6.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 57.61
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 75.23
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.55,
              "estimated_amount": 6.55
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 58.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 55.93
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 48.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 67.61
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 88.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 88.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 88.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 88.5,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 75.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 72.57
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 48.68
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 48.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 67.61
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 73.37
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 88.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 88.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 64.61
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 75.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.8,
              "estimated_amount": 6.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.8,
              "estimated_amount": 6.8
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 57.53
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 66.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 55.93
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 72.57
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 88.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 88.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 88.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 88.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 66.38
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 57.61
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 66.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.8,
              "estimated_amount": 6.8
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 64.61
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 64.61
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 75.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 67.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 56.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 56.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 67.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 56.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 56.82
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 88.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 73.37
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 73.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.8,
              "estimated_amount": 6.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 57.61
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 64.61
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 75.23
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.55,
              "estimated_amount": 6.55
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 88.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 48.68
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 88.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 88.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 88.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 75.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 71.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 72.57
            }
          ],
          "minimum": 6.55,
          "maximum": 6.8
        }
      ]
    },
    {
      "description": "DARUNAVIR 800 MG TABLET",
      "drug_information": {
        "unit": "1",
        "type": "UN"
      },
      "code_information": [
        {
          "code": "RX-119168",
          "type": "CDM"
        },
        {
          "code": "63700001",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 223.15,
          "discounted_cash": 145.05,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 141.03
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 122.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 143.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 140.14
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 189.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 141.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 182.98
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 182.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 170.49
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 182.98
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 122.73
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 122.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 143.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 170.49
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 184.99
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 189.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 140.14
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 167.36
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 189.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 145.27
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 189.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 141.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 141.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 170.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 143.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 143.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 195.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 141.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 143.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 143.26
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 189.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 140.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 144.82
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 162.9
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 162.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 140.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 140.14
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 162.9
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 184.99
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 167.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 143.26
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 189.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 140.14
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 162.9
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 123.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 189.68
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 167.36
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 60.92
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 189.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 182.98
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 182.98
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 122.73
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 184.99
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 122.73
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 122.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 144.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 140.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 140.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 145.27
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 145.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 180.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 145.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 143.26
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 189.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 140.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 140.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 145.27
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 223.15
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 147.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 144.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 140.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 143.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 141.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 182.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 145.27
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 162.9
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 189.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 140.14
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 162.9
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 123.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 122.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 170.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 195.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 170.49
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 189.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 144.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 140.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 180.53
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 123.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 123.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 141.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 182.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 143.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 143.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 143.26
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 189.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 141.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 182.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 170.49
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 196.37
            }
          ]
        }
      ]
    },
    {
      "description": "THROMBIN (BOVINE) 20,000 UNIT TOPICAL SPRAY",
      "drug_information": {
        "unit": "1",
        "type": "UN"
      },
      "code_information": [
        {
          "code": "RX-121891",
          "type": "CDM"
        },
        {
          "code": "25000049",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 699.95,
          "discounted_cash": 454.97,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 442.37
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 573.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 534.76
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 580.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 454.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 439.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 454.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 439.57
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 510.96
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 594.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 439.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 439.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 439.57
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 594.96
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 594.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 442.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 449.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 449.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 449.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 439.57
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 699.95
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 388.47
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 510.96
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 594.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 442.37
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 573.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 384.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 534.76
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 594.96
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 388.47
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 454.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 566.26
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 388.47
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 573.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 449.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 454.27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 455.67
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 455.67
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 510.96
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 510.96
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 388.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 439.57
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 510.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 524.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 534.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 449.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 449.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 449.37
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 594.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 439.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 439.57
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 594.96
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 455.67
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 191.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 442.37
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 384.97
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 580.26
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 594.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 442.37
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 573.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 573.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 384.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 449.37
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 580.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 439.57
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 455.67
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 442.37
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 384.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 449.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 534.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 449.37
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 524.96
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 594.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 534.76
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 461.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 566.26
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 594.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 524.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 613.86
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 573.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 384.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 442.37
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 384.97
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 615.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 439.57
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 455.67
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 594.96
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 594.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 439.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 454.27
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 510.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 442.37
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 613.86
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 573.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 384.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 449.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 439.57
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 573.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 534.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 449.37
            }
          ]
        }
      ]
    },
    {
      "description": "EPINEPHRINE 1 MG/ML INJECTION SOLUTION",
      "drug_information": {
        "unit": "0.1",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-125938",
          "type": "CDM"
        },
        {
          "code": "J0173",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 35.25,
          "discounted_cash": 22.91,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 22.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 30.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 22.28
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 35.25,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 29.96
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 22.95
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.42,
              "estimated_amount": 4.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.04,
              "estimated_amount": 5.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 22.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 30.91
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 29.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 22.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 28.91
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 29.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.04,
              "estimated_amount": 5.04
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 22.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 22.95
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 25.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.04,
              "estimated_amount": 5.04
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 25.73
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 29.96
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 35.25,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 26.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 22.63
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 31.02
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 29.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 28.91
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 22.63
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 29.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.04,
              "estimated_amount": 5.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.04,
              "estimated_amount": 5.04
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 25.73
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.42,
              "estimated_amount": 4.42
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 26.44
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 29.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.04,
              "estimated_amount": 5.04
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 25.73
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 23.27
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 29.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 22.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 28.91
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 28.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 22.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 28.91
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19.39
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 22.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 28.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 28.52
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 29.96
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.42,
              "estimated_amount": 4.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 26.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 22.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 22.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 22.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.04,
              "estimated_amount": 5.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.04,
              "estimated_amount": 5.04
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 29.96
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 29.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.04,
              "estimated_amount": 5.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.04,
              "estimated_amount": 5.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 22.63
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 35.25,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 35.25,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 26.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.04,
              "estimated_amount": 5.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.04,
              "estimated_amount": 5.04
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 29.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 26.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.04,
              "estimated_amount": 5.04
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 22.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 22.63
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 29.22
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 29.22
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 26.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19.39
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19.39
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 22.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.04,
              "estimated_amount": 5.04
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 25.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 25.73
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 29.96
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 29.96
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 35.25,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.04,
              "estimated_amount": 5.04
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.42,
              "estimated_amount": 4.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 22.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 26.93
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 26.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 22.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 22.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 22.63
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.42,
              "estimated_amount": 4.42
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 29.96
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 9.62
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 22.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.04,
              "estimated_amount": 5.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 28.91
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 28.91
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 22.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.04,
              "estimated_amount": 5.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 28.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 26.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 22.63
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 35.25,
              "additional_payer_notes": "ALL OTHER OP"
            }
          ],
          "minimum": 4.42,
          "maximum": 5.04
        }
      ]
    },
    {
      "description": "CALCIUM 250 MG (AS CARBONATE)-VITAMIN D3 3.125 MCG (125 UNIT) TABLET",
      "drug_information": {
        "unit": "1",
        "type": "UN"
      },
      "code_information": [
        {
          "code": "RX-128032",
          "type": "CDM"
        },
        {
          "code": "63700001",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.05,
          "discounted_cash": 0.03,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.03
            }
          ]
        }
      ]
    },
    {
      "description": "SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK",
      "drug_information": {
        "unit": "50",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-128039",
          "type": "CDM"
        },
        {
          "code": "J7050",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 75.75,
          "discounted_cash": 49.24,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 47.87
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 62.12
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 62.8
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 20.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 75.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 64.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 47.87
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 62.12
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 75.75,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 62.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 75.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 49.31
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 64.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 75.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 75.75,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 47.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 57.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 48.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 48.63
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 62.8
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 66.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 47.87
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 62.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 48.63
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 75.75,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 64.39
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 42.04
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 64.39
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 75.75,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 50
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 47.87
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 41.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 48.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 48.63
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 75.75,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 47.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 66.43
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 62.12
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 41.66
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 64.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 75.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 75.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 75.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 75.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 64.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 75.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 64.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 47.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 57.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 57.87
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 64.39
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 64.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 75.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 75.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 75.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 55.3
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 55.3
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 55.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 42.04
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 64.39
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 42.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 48.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 57.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 57.87
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 49.31
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 55.3
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 56.81
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 55.3
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 42.04
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 64.39
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 49.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 62.12
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 41.66
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 41.66
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 56.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 47.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 48.63
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 66.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 75.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 75.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 49.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 75.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 49.31
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 75.75
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 64.39
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 41.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 48.63
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 0.61,
              "estimated_amount": 0.61
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 62.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 62.12
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 41.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 48.63
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 61.28
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 56.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 75.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 75.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 75.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 55.3
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 64.39
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 41.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 57.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 48.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 48.63
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 62.8
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 75.75,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 49.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 61.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 48.63
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75.75,
              "additional_payer_notes": "OPPS APC"
            }
          ],
          "minimum": 0.61,
          "maximum": 0.61
        }
      ]
    },
    {
      "description": "SUCCINYLCHOLINE CHLORIDE 200 MG/10 ML (20 MG/ML) INTRAVENOUS SYRINGE",
      "drug_information": {
        "unit": "1",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-131069",
          "type": "CDM"
        },
        {
          "code": "J0330",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 40.95,
          "discounted_cash": 26.62,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 25.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 25.88
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 34.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 33.13
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 29.89
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 29.89
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1.9,
              "estimated_amount": 1.9
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 34.81
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 40.95,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.58,
              "estimated_amount": 4.58
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 29.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 25.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 31.29
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 40.95,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 35.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 25.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 33.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 33.58
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 22.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 26.29
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 40.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 40.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 40.95,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.58,
              "estimated_amount": 4.58
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 34.81
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 27.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.58,
              "estimated_amount": 4.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 26.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 25.88
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 40.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 33.95
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 40.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 40.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 40.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 22.52
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 29.89
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1.9,
              "estimated_amount": 1.9
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 40.95,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.58,
              "estimated_amount": 4.58
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1.9,
              "estimated_amount": 1.9
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 34.81
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 33.58
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 22.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 26.29
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 33.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 35.91
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 33.58
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 22.52
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 40.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.58,
              "estimated_amount": 4.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.58,
              "estimated_amount": 4.58
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 34.81
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 26.62
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 26.66
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 11.18
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 34.81
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 30.71
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 34.81
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 34.81
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 22.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 25.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 33.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 31.29
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 40.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.58,
              "estimated_amount": 4.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.58,
              "estimated_amount": 4.58
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 40.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 40.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 30.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.58,
              "estimated_amount": 4.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 25.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 26.29
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 40.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 36.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 22.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 26.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 26.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 26.29
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 33.95
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 30.71
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 34.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.58,
              "estimated_amount": 4.58
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 29.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.58,
              "estimated_amount": 4.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.58,
              "estimated_amount": 4.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 26.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 26.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 26.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 26.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 31.29
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 40.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 34.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 31.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 26.29
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 40.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.58,
              "estimated_amount": 4.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 33.13
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1.9,
              "estimated_amount": 1.9
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 40.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 34.81
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 29.89
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 34.81
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 34.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 25.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 33.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 33.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 26.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 26.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 31.29
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 40.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 40.95,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 40.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 40.95,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.58,
              "estimated_amount": 4.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 26.66
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1.9,
              "estimated_amount": 1.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 33.58
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 22.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 26.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 31.29
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 40.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.58,
              "estimated_amount": 4.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.58,
              "estimated_amount": 4.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.58,
              "estimated_amount": 4.58
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 40.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 40.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 34.81
            }
          ],
          "minimum": 1.9,
          "maximum": 4.58
        }
      ]
    },
    {
      "description": "LABETALOL 20 MG/4 ML (5 MG/ML) INTRAVENOUS SYRINGE",
      "drug_information": {
        "unit": "4",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-132015",
          "type": "CDM"
        },
        {
          "code": "J1920",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 75.1,
          "discounted_cash": 48.81,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 47.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 57.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 57.38
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 62.26
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 62.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1.84,
              "estimated_amount": 1.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1.84,
              "estimated_amount": 1.84
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1.59,
              "estimated_amount": 1.59
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 56.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1.84,
              "estimated_amount": 1.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1.84,
              "estimated_amount": 1.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1.84,
              "estimated_amount": 1.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 48.89
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 54.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 47.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 47.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 61.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 61.58
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 41.31
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 41.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 47.46
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 41.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 48.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 48.21
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 63.84
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1.59,
              "estimated_amount": 1.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1.84,
              "estimated_amount": 1.84
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 54.82
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 63.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 47.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 61.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 61.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1.84,
              "estimated_amount": 1.84
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 54.82
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 63.84
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 56.33
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 63.84
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 49.57
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1.59,
              "estimated_amount": 1.59
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 20.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 65.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 47.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 65.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 48.21
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 75.1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 66.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1.84,
              "estimated_amount": 1.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1.84,
              "estimated_amount": 1.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 60.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1.84,
              "estimated_amount": 1.84
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 48.82
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 63.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 48.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 48.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 48.21
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 63.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 61.58
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 41.31
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 41.31
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 75.1,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1.84,
              "estimated_amount": 1.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1.84,
              "estimated_amount": 1.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 48.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1.84,
              "estimated_amount": 1.84
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 54.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 41.31
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 75.1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 48.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 57.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 57.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1.84,
              "estimated_amount": 1.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1.84,
              "estimated_amount": 1.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 60.76
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 63.84
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 63.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1.84,
              "estimated_amount": 1.84
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 63.84
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 75.1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 63.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 61.58
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 63.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 61.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 48.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 57.38
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 54.82
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1.59,
              "estimated_amount": 1.59
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 63.84
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1.59,
              "estimated_amount": 1.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 47.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 48.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 48.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 48.21
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 62.26
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 75.1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 56.33
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 61.58
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 41.31
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 75.1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 48.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 48.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 48.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 57.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1.84,
              "estimated_amount": 1.84
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 54.82
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 63.84
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 63.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 47.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 48.21
            }
          ],
          "minimum": 1.59,
          "maximum": 1.84
        }
      ]
    },
    {
      "description": "MORPHINE (PF) 2 MG/2 ML (1 MG/ML) IN 0.9% SODIUM CHLORIDE INJ SYRINGE",
      "drug_information": {
        "unit": "1",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-132326",
          "type": "CDM"
        },
        {
          "code": "J7999",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 44.85,
          "discounted_cash": 29.15,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 28.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 28.79
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 44.85,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 44.85,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 44.85,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 38.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 29.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 44.85,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 38.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 44.85,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 28.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 36.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 36.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 36.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 34.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 28.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 34.27
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 44.85,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 29.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 44.85,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 38.12
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 29.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 36.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 28.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 28.79
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 37.18
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 37.18
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 39.47
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 24.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 34.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 28.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 28.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 44.85,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 44.85,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 44.85,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 44.85,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 44.85,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 32.74
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 29.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 28.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 39.33
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 44.85,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 33.64
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 38.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 28.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 36.78
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 24.67
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 44.85,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 44.85,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 44.85,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 44.85,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 44.85,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 44.85,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 32.74
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 32.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 44.85,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 33.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 28.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 28.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 36.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 28.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 34.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 28.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 28.79
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 38.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 39.33
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 29.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 44.85,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 44.85,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 32.74
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 44.85,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 44.85,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 44.85,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 28.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 36.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 28.79
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 44.85,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 38.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 44.85,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 44.85,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 44.85,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 36.28
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 32.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 29.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 44.85,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 24.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 28.79
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 44.85,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 44.85,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 44.85,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 38.12
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 33.64
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 38.12
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 44.85,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 38.12
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 38.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 34.27
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 44.85,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 44.85,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 28.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 36.78
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 24.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 28.79
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 44.85,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 44.85,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 44.85,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 44.85,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 38.12
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 38.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 44.85,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 44.85,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 29.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 36.28
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 12.24
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 38.12
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 38.12
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 44.85,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 24.67
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 44.85,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 44.85,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 32.74
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 44.85,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 44.85,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 24.67
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 24.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 34.27
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 37.18
            }
          ]
        }
      ]
    },
    {
      "description": "CARISOPRODOL 350 MG TABLET",
      "drug_information": {
        "unit": "1",
        "type": "UN"
      },
      "code_information": [
        {
          "code": "RX-1395",
          "type": "CDM"
        },
        {
          "code": "63700001",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 4.8,
          "discounted_cash": 3.12,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.67
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 4.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.12
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.5
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.08
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.6
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.5
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.12
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.66
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4.21
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.94
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4.21
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.12
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3.88
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.66
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.94
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.67
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.08
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.5
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.5
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 3.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 3.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.66
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.94
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 3.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.67
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3.98
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 3.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 3.12
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.08
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3.88
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 3.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.94
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.64
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.08
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.08
            }
          ]
        }
      ]
    },
    {
      "description": "CHLORPROMAZINE 25 MG TABLET",
      "drug_information": {
        "unit": "1",
        "type": "UN"
      },
      "code_information": [
        {
          "code": "RX-1656",
          "type": "CDM"
        },
        {
          "code": "63700001",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 7.55,
          "discounted_cash": 4.91,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
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              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.77
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
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              "standard_charge_percentage": 82,
              "estimated_amount": 6.19
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 4.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 4.15
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 4.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 6.11
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
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              "standard_charge_percentage": 55.5,
              "estimated_amount": 4.19
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 2.06
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 6.62
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
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              "standard_charge_percentage": 82.9,
              "estimated_amount": 6.26
            },
            {
              "payer_name": "AHPO [305]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 6.42
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.77
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
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              "standard_charge_percentage": 64.9,
              "estimated_amount": 4.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 4.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 4.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 4.74
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.77
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
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              "standard_charge_percentage": 82,
              "estimated_amount": 6.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
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              "standard_charge_percentage": 82,
              "estimated_amount": 6.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
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              "standard_charge_percentage": 87.7,
              "estimated_amount": 6.62
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
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              "standard_charge_percentage": 82,
              "estimated_amount": 6.19
            },
            {
              "payer_name": "HEALTHREACH [540]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 4.15
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
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              "standard_charge_percentage": 82.9,
              "estimated_amount": 6.26
            },
            {
              "payer_name": "CIGNA [370]",
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              "standard_charge_percentage": 65.1,
              "estimated_amount": 4.92
            },
            {
              "payer_name": "ANTHEM [335]",
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              "standard_charge_percentage": 55.5,
              "estimated_amount": 4.19
            },
            {
              "payer_name": "PARAMOUNT [555]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 6.42
            },
            {
              "payer_name": "HEALTHLINK [443]",
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              "standard_charge_percentage": 75,
              "estimated_amount": 5.66
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 4.74
            },
            {
              "payer_name": "FIRST HEALTH [408]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 6.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
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              "standard_charge_percentage": 82,
              "estimated_amount": 6.19
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 76.4,
              "estimated_amount": 5.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
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              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.77
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.85
            },
            {
              "payer_name": "GREATWEST [550]",
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              "standard_charge_percentage": 82.9,
              "estimated_amount": 6.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
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              "standard_charge_percentage": 65.1,
              "estimated_amount": 4.92
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
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              "standard_charge_percentage": 65.1,
              "estimated_amount": 4.92
            },
            {
              "payer_name": "CIGNA [370]",
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              "standard_charge_percentage": 65.1,
              "estimated_amount": 4.92
            },
            {
              "payer_name": "OSU [553]",
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              "standard_charge_percentage": 73,
              "estimated_amount": 5.51
            },
            {
              "payer_name": "OSU [553]",
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              "standard_charge_percentage": 73,
              "estimated_amount": 5.51
            },
            {
              "payer_name": "OSU [553]",
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              "standard_charge_percentage": 73,
              "estimated_amount": 5.51
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 6.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 5.77
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 5.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 4.74
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4.19
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 4.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 4.74
            },
            {
              "payer_name": "UHC [625]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 4.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 4.74
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.42
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 4.91
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 4.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
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              "standard_charge_percentage": 76.4,
              "estimated_amount": 5.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.85
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 6.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
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              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.85
            },
            {
              "payer_name": "AETNA [310]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 4.9
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.42
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.42
            },
            {
              "payer_name": "HEALTHLINK [443]",
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              "standard_charge_percentage": 75,
              "estimated_amount": 5.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.77
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
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              "standard_charge_percentage": 82,
              "estimated_amount": 6.19
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.85
            },
            {
              "payer_name": "AETNA [310]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 5.77
            },
            {
              "payer_name": "AETNA [310]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 4.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 4.74
            },
            {
              "payer_name": "OSU [553]",
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              "standard_charge_percentage": 73,
              "estimated_amount": 5.51
            },
            {
              "payer_name": "OSU [553]",
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              "standard_charge_percentage": 73,
              "estimated_amount": 5.51
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 7.55
            },
            {
              "payer_name": "UHC [625]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 4.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 6.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
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              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
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              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.77
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
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              "standard_charge_percentage": 82,
              "estimated_amount": 6.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.85
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 4.74
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5.51
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 4.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 5.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 4.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 5.77
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.42
            }
          ]
        }
      ]
    },
    {
      "description": "RAMUCIRUMAB 10 MG/ML INTRAVENOUS SOLUTION",
      "drug_information": {
        "unit": "50",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-167769",
          "type": "CDM"
        },
        {
          "code": "J9308",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 30296.6,
          "discounted_cash": 19692.79,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 19147.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 16663.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 23146.6
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 25115.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19311,
              "estimated_amount": 19311
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19311,
              "estimated_amount": 19311
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 19723.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 24509.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 19723.09
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 25752.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19311,
              "estimated_amount": 19311
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 25752.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 19450.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 19450.42
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6825.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6825.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 26570.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 24843.21
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 24843.21
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6894.25,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 25115.88
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6825.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 26661.01
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 22722.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 16663.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 19450.42
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6894.25,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 7167.29,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 16663.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 23146.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6894.25,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 19692.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19311,
              "estimated_amount": 19311
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19311,
              "estimated_amount": 19311
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19311,
              "estimated_amount": 19311
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16298.1,
              "estimated_amount": 16298.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 19147.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 19147.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 24843.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 19450.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 19147.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 19147.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 16663.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 19450.42
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6894.25,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19311,
              "estimated_amount": 19311
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 25752.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19311,
              "estimated_amount": 19311
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19311,
              "estimated_amount": 19311
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6825.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 8270.97
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 25752.11
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 24843.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 19450.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 19450.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 19450.42
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6825.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 25752.11
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 25752.11
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 22722.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 19147.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 23146.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 19450.42
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 7167.29,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19311,
              "estimated_amount": 19311
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 19723.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 19723.09
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16298.1,
              "estimated_amount": 16298.1
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 22722.45
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 30296.6,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19311,
              "estimated_amount": 19311
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16298.1,
              "estimated_amount": 16298.1
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6825.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 25752.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 19450.42
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 25752.11
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 16663.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 23146.6
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6825.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19311,
              "estimated_amount": 19311
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 22116.52
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 25752.11
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 19995.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19311,
              "estimated_amount": 19311
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 24843.21
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 24843.21
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 7167.29,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 25752.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 19147.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19311,
              "estimated_amount": 19311
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 22116.52
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16298.1,
              "estimated_amount": 16298.1
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 25752.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 24509.95
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 22116.52
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 30296.6,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 24843.21
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 6634.96
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 30296.6,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 30296.6,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 23146.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 19450.42
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 7167.29,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6894.25,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 30296.6,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19311,
              "estimated_amount": 19311
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19311,
              "estimated_amount": 19311
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 22116.52
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6825.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 25752.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 19723.09
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 22116.52
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 25752.11
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 25752.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 19147.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 24843.21
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 16663.13
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 16663.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 19450.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19311,
              "estimated_amount": 19311
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 22116.52
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16298.1,
              "estimated_amount": 16298.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 26570.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 23146.6
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6825.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6825.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 25115.88
            }
          ],
          "minimum": 16298.1,
          "maximum": 19311
        },
        {
          "setting": "outpatient",
          "gross_charge": 6125,
          "discounted_cash": 3981.25,
          "payers_information": [
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5022.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1378.85,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 5077.63
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1365.2,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4593.75
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4471.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3259.62,
              "estimated_amount": 3259.62
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1365.2,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5206.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3862.2,
              "estimated_amount": 3862.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3862.2,
              "estimated_amount": 3862.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3259.62,
              "estimated_amount": 3259.62
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5206.25
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5206.25
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 4042.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3871
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3368.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3932.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3932.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3932.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4679.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1378.85,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 5077.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3932.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4679.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3862.2,
              "estimated_amount": 3862.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3987.38
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3987.38
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4955.13
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4471.25
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4471.25
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5206.25
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4593.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3862.2,
              "estimated_amount": 3862.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3862.2,
              "estimated_amount": 3862.2
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 6125,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5022.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5022.5
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 1341.38
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 5390
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3871
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3871
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3932.25
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1433.46,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 6125,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3862.2,
              "estimated_amount": 3862.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3862.2,
              "estimated_amount": 3862.2
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1365.2,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1365.2,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5206.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 5371.63
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3368.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3368.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4679.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3932.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3862.2,
              "estimated_amount": 3862.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3862.2,
              "estimated_amount": 3862.2
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5206.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3862.2,
              "estimated_amount": 3862.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3862.2,
              "estimated_amount": 3862.2
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1365.2,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5022.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3932.25
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1365.2,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5206.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 5371.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5022.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5022.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 5077.63
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 6125,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3862.2,
              "estimated_amount": 3862.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3862.2,
              "estimated_amount": 3862.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3987.38
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3987.38
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3987.38
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5206.25
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5206.25
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 6125,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3871
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1378.85,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3368.75
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1433.46,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5206.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3862.2,
              "estimated_amount": 3862.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3862.2,
              "estimated_amount": 3862.2
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5206.25
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 3981.25
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4471.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3259.62,
              "estimated_amount": 3259.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3932.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1365.2,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5206.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3871
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3368.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4679.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3932.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1378.85,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1433.46,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1433.46,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1672.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4955.13
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4471.25
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4471.25
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1365.2,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4593.75
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5206.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3871
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5022.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3932.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1365.2,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1378.85,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4679.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3932.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3862.2,
              "estimated_amount": 3862.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3259.62,
              "estimated_amount": 3259.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3862.2,
              "estimated_amount": 3862.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3259.62,
              "estimated_amount": 3259.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3871
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3368.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3368.75
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1365.2,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 6125,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5206.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3871
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5022.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3932.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4679.5
            }
          ],
          "minimum": 3259.62,
          "maximum": 3862.2
        }
      ]
    },
    {
      "description": "BUPRENORPHINE HCL 75 MCG BUCCAL FILM",
      "drug_information": {
        "unit": "1",
        "type": "UN"
      },
      "code_information": [
        {
          "code": "RX-175759",
          "type": "CDM"
        },
        {
          "code": "J0571",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 35.75,
          "discounted_cash": 23.24,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 22.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 31.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 29.32
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 29.64
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 35.75,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 23.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 35.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 35.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 23.27
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 26.1
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 29.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 22.95
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 22.95
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 35.75,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 23.27
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.39
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.39
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 23.24
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.39
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.39
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 19.84
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.39
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 29.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 29.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 22.95
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 29.64
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 22.59
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 29.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 22.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 27.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 27.31
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.39
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 35.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 26.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 35.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 22.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 22.95
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 29.64
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 35.75,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 19.84
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 35.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 35.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 35.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 26.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 29.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 27.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 22.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 22.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 27.31
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 26.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 28.92
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 19.84
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 35.75,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 28.92
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 35.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 26.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 22.59
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 29.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 22.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 22.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 27.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 35.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 9.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 35.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 23.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 22.59
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 22.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 22.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 22.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 22.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 35.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 35.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 35.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 23.27
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 26.1
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 35.75,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 35.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 35.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 22.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 31.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 35.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 35.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 23.27
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 26.1
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 26.81
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 27.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 22.95
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 31.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 35.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 26.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 19.84
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 29.32
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 35.75,
              "additional_payer_notes": "ALL OTHER OP"
            }
          ]
        }
      ]
    },
    {
      "description": "BUPRENORPHINE HCL 300 MCG BUCCAL FILM",
      "drug_information": {
        "unit": "1",
        "type": "UN"
      },
      "code_information": [
        {
          "code": "RX-175761",
          "type": "CDM"
        },
        {
          "code": "J0571",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 51.5,
          "discounted_cash": 33.47,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 32.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 32.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 42.23
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 28.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 33.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 33.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 39.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 39.35
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 42.69
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 45.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 51.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 41.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 33.53
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 28.58
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 28.58
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 14.06
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 38.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 51.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 37.6
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 43.78
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 43.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 42.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 33.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 33.06
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 51.5,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 33.53
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 33.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 51.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 41.66
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 37.6
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 37.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 51.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 45.17
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 42.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 33.06
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 28.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 33.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 51.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 37.6
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 43.78
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 43.78
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 43.78
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 43.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 32.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 33.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 33.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 39.35
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 43.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 42.23
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 51.5,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 51.5,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 51.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 51.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 51.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 51.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 28.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 42.23
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 28.33
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 28.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 33.06
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 43.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 42.23
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 28.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 33.06
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 38.63
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 43.78
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 33.53
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 43.78
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 51.5,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 32.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 32.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 28.33
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 51.5,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 32.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 28.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 33.06
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 43.78
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 38.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 51.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 51.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 51.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 51.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 33.53
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 28.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 51.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 51.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 51.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 39.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 39.35
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 42.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 51.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 51.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 43.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 32.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 42.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 45.17
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 33.53
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 37.6
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 43.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 33.06
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 37.6
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 33.48
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 51.5,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 32.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 42.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 39.35
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 42.69
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 43.78
            }
          ]
        }
      ]
    },
    {
      "description": "DARATUMUMAB 20 MG/ML INTRAVENOUS SOLUTION",
      "drug_information": {
        "unit": "20",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-175808",
          "type": "CDM"
        },
        {
          "code": "J9145",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 12221.95,
          "discounted_cash": 7944.27,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7724.27
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6722.07
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7956.49
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7956.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6978.8,
              "estimated_amount": 6978.8
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10388.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 10718.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7724.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 9337.57
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2420.34,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7724.27
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6722.07
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10388.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 9887.56
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 8066.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6978.8,
              "estimated_amount": 6978.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6978.8,
              "estimated_amount": 6978.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 10022
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6722.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7846.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7846.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7846.49
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10388.66
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6722.07
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6722.07
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2396.37,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5721.77,
              "estimated_amount": 5721.77
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10388.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6978.8,
              "estimated_amount": 6978.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6978.8,
              "estimated_amount": 6978.8
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10388.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7724.27
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 10022
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6722.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7846.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7846.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 9337.57
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2396.37,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2396.37,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2396.37,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7846.49
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 10132
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 12221.95,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6978.8,
              "estimated_amount": 6978.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6978.8,
              "estimated_amount": 6978.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7956.49
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8922.02
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8922.02
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10388.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6978.8,
              "estimated_amount": 6978.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5721.77,
              "estimated_amount": 5721.77
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 9166.46
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10388.66
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10388.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7846.49
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2516.19,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 2676.61
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 12221.95,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 9166.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 10022
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 10022
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7846.49
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2396.37,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2516.19,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6978.8,
              "estimated_amount": 6978.8
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8922.02
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8922.02
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 9166.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6978.8,
              "estimated_amount": 6978.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5721.77,
              "estimated_amount": 5721.77
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 3336.59
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10388.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 9337.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7846.49
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2516.19,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10388.66
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2420.34,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 12221.95,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6978.8,
              "estimated_amount": 6978.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6978.8,
              "estimated_amount": 6978.8
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8922.02
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5721.77,
              "estimated_amount": 5721.77
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 12221.95,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 12221.95,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7956.49
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7956.49
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10388.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7724.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7724.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 10718.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7846.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7846.49
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 10132
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 9337.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 9337.57
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2396.37,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2396.37,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8922.02
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5721.77,
              "estimated_amount": 5721.77
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2396.37,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7724.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7724.27
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 10022
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 10022
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2516.19,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6722.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7846.49
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2420.34,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2420.34,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 10132
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2420.34,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10388.66
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 10755.32
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2396.37,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6978.8,
              "estimated_amount": 6978.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6978.8,
              "estimated_amount": 6978.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6978.8,
              "estimated_amount": 6978.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6978.8,
              "estimated_amount": 6978.8
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10388.66
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 7944.27
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 10022
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6978.8,
              "estimated_amount": 6978.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 9887.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2396.37,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 10388.66
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
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              "standard_charge_percentage": 82,
              "estimated_amount": 10022
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 9337.57
            }
          ],
          "minimum": 5721.77,
          "maximum": 6978.8
        }
      ]
    },
    {
      "description": "CITRIC AC 1980.6 MG-GLUCONO 59.4 MG-MAG CARB 980.4 MG/30 ML IRRIG.SOLN",
      "drug_information": {
        "unit": "30",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-177708",
          "type": "CDM"
        },
        {
          "code": "Q2004",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 81.65,
          "discounted_cash": 53.07,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
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              "standard_charge_percentage": 63.2,
              "estimated_amount": 51.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 66.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
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              "standard_charge_percentage": 82,
              "estimated_amount": 66.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 44.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 52.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 62.38
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
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              "standard_charge_percentage": 82.9,
              "estimated_amount": 67.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
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              "standard_charge_dollar": 398.15,
              "estimated_amount": 398.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
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              "standard_charge_dollar": 398.15,
              "estimated_amount": 398.15
            },
            {
              "payer_name": "OSU [553]",
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              "standard_charge_percentage": 73,
              "estimated_amount": 59.6
            },
            {
              "payer_name": "ANTHEM [335]",
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              "standard_charge_dollar": 231,
              "estimated_amount": 81.65
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 69.4
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 52.42
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 76.4,
              "estimated_amount": 62.38
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 69.4
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 76.4,
              "estimated_amount": 62.38
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
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              "standard_charge_percentage": 82.9,
              "estimated_amount": 67.69
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 69.4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 69.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 398.15,
              "estimated_amount": 398.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 53.15
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 61.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 51.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 51.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 66.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
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              "standard_charge_percentage": 82,
              "estimated_amount": 66.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 44.91
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
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              "standard_charge_percentage": 82.9,
              "estimated_amount": 67.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
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              "standard_charge_dollar": 398.15,
              "estimated_amount": 398.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
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              "standard_charge_dollar": 398.15,
              "estimated_amount": 398.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
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              "standard_charge_dollar": 398.15,
              "estimated_amount": 398.15
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 59.6
            },
            {
              "payer_name": "OSU [553]",
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              "standard_charge_percentage": 73,
              "estimated_amount": 59.6
            },
            {
              "payer_name": "ANTHEM [335]",
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              "methodology": "fee schedule",
              "standard_charge_dollar": 231,
              "estimated_amount": 81.65
            },
            {
              "payer_name": "HEALTHSMART [493]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 69.4
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 69.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
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              "standard_charge_dollar": 398.15,
              "estimated_amount": 398.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
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              "standard_charge_percentage": 80.9,
              "estimated_amount": 66.05
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
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              "standard_charge_dollar": 231,
              "estimated_amount": 81.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 51.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 44.91
            },
            {
              "payer_name": "HEALTHREACH [540]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 44.91
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 44.91
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 71.85
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 61.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 398.15,
              "estimated_amount": 398.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 398.15,
              "estimated_amount": 398.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 53.15
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 69.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 51.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 66.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 66.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 52.42
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 66.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 398.15,
              "estimated_amount": 398.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 398.15,
              "estimated_amount": 398.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 53.15
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 59.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 231,
              "estimated_amount": 81.65
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 53.07
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 69.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 62.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 52.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 398.15,
              "estimated_amount": 398.15
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 69.4
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 69.4
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 22.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 51.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
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              "standard_charge_percentage": 87.7,
              "estimated_amount": 71.61
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 44.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 52.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 71.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 51.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 52.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 62.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
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              "standard_charge_dollar": 398.15,
              "estimated_amount": 398.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 398.15,
              "estimated_amount": 398.15
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 59.6
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 53.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 398.15,
              "estimated_amount": 398.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 53.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 66.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 66.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 44.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 52.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 52.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 52.42
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 53.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 398.15,
              "estimated_amount": 398.15
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 59.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 231,
              "estimated_amount": 81.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 62.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 52.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 52.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 398.15,
              "estimated_amount": 398.15
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 61.24
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 69.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 51.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 52.42
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 69.4
            }
          ],
          "minimum": 231,
          "maximum": 398.15
        }
      ]
    },
    {
      "description": "SUCCINYLCHOLINE(PF)200 MG/10 ML(20 MG/ML)-NACL,ISO INTRAVENOUS SYRINGE",
      "drug_information": {
        "unit": "1",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-178134",
          "type": "CDM"
        },
        {
          "code": "J0330",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 40.5,
          "discounted_cash": 26.32,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 25.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 25.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 35.52
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 33.21
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 40.5,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 34.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 26.37
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 40.5,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 34.43
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 33.21
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 22.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 26
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 22.28
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 40.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 40.5,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 40.5,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 34.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 40.5,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 40.5,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 33.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 30.94
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 33.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 40.5,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 40.5,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 34.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 40.5,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 26.37
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 29.57
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 40.5,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 26
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 33.57
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 34.43
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 22.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 22.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 26
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 40.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 26.37
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 40.5,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 40.5,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 40.5,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 40.5,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 11.06
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 40.5,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 34.43
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 33.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 30.94
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 40.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 40.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 40.5,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 25.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 25.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 30.94
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 40.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 40.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 34.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 40.5,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 40.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 40.5,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 40.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 40.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 34.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 40.5,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 40.5,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 29.57
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 29.57
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 29.57
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 33.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 30.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 26
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 40.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 40.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 22.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 22.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 26
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 40.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 40.5,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 32.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 26.37
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 26.37
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 29.57
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 30.38
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 26.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 40.5,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 40.5,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 34.43
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 40.5,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 35.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 26
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 40.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 40.5,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 29.57
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 25.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 25.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 33.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 30.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 30.94
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 40.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 40.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 35.64
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 22.28
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 33.57
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 40.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 40.5,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 34.43
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 34.43
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 26.33
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 30.38
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 34.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 40.5,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 32.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 25.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 25.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 33.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 26
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 40.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 40.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 34.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 40.5,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 34.43
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 33.21
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 40.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 30.38
            }
          ]
        }
      ]
    },
    {
      "description": "BRIMONIDINE 0.2 % EYE DROPS",
      "drug_information": {
        "unit": "5",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-17881",
          "type": "CDM"
        },
        {
          "code": "63700001",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 19.5,
          "discounted_cash": 12.67,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 17.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 12.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 15.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 14.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 12.52
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 16.17
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 17.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 12.25
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 14.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 12.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 12.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 12.69
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 12.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 12.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 12.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 12.52
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 16.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 15.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 12.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 12.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 12.66
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 16.58
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 14.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 12.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 12.69
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 14.24
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 19.5
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 12.68
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 16.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 12.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 12.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 12.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 12.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 12.25
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 5.32
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 16.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 12.69
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 16.58
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 16.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 12.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 12.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 10.73
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 10.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 12.52
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 16.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 12.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 12.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 12.66
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 15.99
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 15.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 14.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 12.52
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 15.99
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 10.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 14.24
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 14.24
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 10.82
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 16.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 17.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 10.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 12.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 14.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 12.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 15.99
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 16.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 12.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 15.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 12.25
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 14.24
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 16.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 12.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 15.99
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 12.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 14.9
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 16.58
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 10.82
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 16.58
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 14.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 12.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 12.69
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 10.82
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 10.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 10.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 14.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 14.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 15.99
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 10.73
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 10.73
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 16.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 12.66
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 12.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 12.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 12.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 12.25
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 14.24
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 14.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 12.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 15.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 12.32
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 16.58
            }
          ]
        }
      ]
    },
    {
      "description": "SPIRONOLACTONE 25 MG/5 ML ORAL SUSPENSION",
      "drug_information": {
        "unit": "4",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-182724",
          "type": "CDM"
        },
        {
          "code": "63700001",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 36.6,
          "discounted_cash": 23.79,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 23.13
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 20.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 23.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 22.98
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 31.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 23.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 30.01
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 30.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 27.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 22.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 22.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 23.83
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 36.6
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 31.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 22.98
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 27.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 32.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 30.01
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 20.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 27.96
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 27.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 23.13
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 30.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 27.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 22.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 20.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 22.98
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 30.34
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 31.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 23.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 23.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 23.83
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 31.11
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 23.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 32.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 30.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 27.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 22.98
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 9.99
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 27.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 22.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 22.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 23.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 29.61
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 26.72
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 20.31
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 20.13
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 30.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 27.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 30.34
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 31.11
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 32.21
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 29.61
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 26.72
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 26.72
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 31.11
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 30.01
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 20.13
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 20.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 22.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 20.31
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 31.11
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 31.11
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 24.16
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 31.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 23.83
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 23.83
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 20.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 23.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.5
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 31.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 23.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 23.13
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 30.01
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 20.13
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 30.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 22.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 23.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 22.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 23.83
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 26.72
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 31.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 22.98
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 26.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 27.96
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 31.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 23.75
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 26.72
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 20.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.5
            }
          ]
        }
      ]
    },
    {
      "description": "RABIES IMMUNE GLOBULIN (PF) 300 UNIT/ML INTRAMUSCULAR SOLUTION",
      "drug_information": {
        "unit": "5",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-184759",
          "type": "CDM"
        },
        {
          "code": "90375",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 11486.6,
          "discounted_cash": 7466.29,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7259.53
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6317.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7374.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7815.1,
              "estimated_amount": 7815.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7815.1,
              "estimated_amount": 7815.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7815.1,
              "estimated_amount": 7815.1
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8385.22
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8385.22
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6684.21,
              "estimated_amount": 6684.21
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9419.01
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6317.63
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6317.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9419.01
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6317.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7374.4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9763.61
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9763.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7815.1,
              "estimated_amount": 7815.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7815.1,
              "estimated_amount": 7815.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9419.01
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9419.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8775.76
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6684.21,
              "estimated_amount": 6684.21
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 9292.66
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8385.22
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 3135.84
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9763.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7374.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8775.76
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 9522.39
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 9522.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 10073.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9419.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8775.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7815.1,
              "estimated_amount": 7815.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7477.78
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9763.61
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 8614.95
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8385.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7259.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7259.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7374.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7374.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7374.4
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 10108.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 10073.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7259.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7259.53
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9419.01
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9419.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7815.1,
              "estimated_amount": 7815.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7815.1,
              "estimated_amount": 7815.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6684.21,
              "estimated_amount": 6684.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7815.1,
              "estimated_amount": 7815.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7815.1,
              "estimated_amount": 7815.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7477.78
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7477.78
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8385.22
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6684.21,
              "estimated_amount": 6684.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7259.53
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6317.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7374.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7374.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8775.76
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 8614.95
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9763.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7815.1,
              "estimated_amount": 7815.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 9292.66
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9763.61
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 7581.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7477.78
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 7466.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7259.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7374.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7374.4
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9763.61
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9419.01
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6317.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7374.4
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9763.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7815.1,
              "estimated_amount": 7815.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7815.1,
              "estimated_amount": 7815.1
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8385.22
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9763.61
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 8614.95
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9763.61
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9763.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8775.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7259.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8775.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7815.1,
              "estimated_amount": 7815.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7815.1,
              "estimated_amount": 7815.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7477.78
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6684.21,
              "estimated_amount": 6684.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7815.1,
              "estimated_amount": 7815.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7815.1,
              "estimated_amount": 7815.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6317.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7374.4
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 9522.39
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9763.61
            }
          ],
          "minimum": 6684.21,
          "maximum": 7815.1
        }
      ]
    },
    {
      "description": "EPOETIN ALFA-EPBX 2,000 UNIT/ML INJECTION SOLUTION",
      "drug_information": {
        "unit": "1",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-185086",
          "type": "CDM"
        },
        {
          "code": "Q5106",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 115.9,
          "discounted_cash": 75.33,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 73.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 73.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 14.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 14.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 14.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 98.52
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 98.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 36.96,
              "estimated_amount": 36.96
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 75.45
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 98.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 36.96,
              "estimated_amount": 36.96
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.15,
              "estimated_amount": 35.15
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 115.9,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 73.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 74.41
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.46,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 63.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 88.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 36.96,
              "estimated_amount": 36.96
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 93.76
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 98.52
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 86.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 36.96,
              "estimated_amount": 36.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 36.96,
              "estimated_amount": 36.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 36.96,
              "estimated_amount": 36.96
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 31.64
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 98.52
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 63.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 63.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 88.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 74.41
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 14.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 14.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 95.04
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 101.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 36.96,
              "estimated_amount": 36.96
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 84.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 36.96,
              "estimated_amount": 36.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 36.96,
              "estimated_amount": 36.96
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 84.61
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 84.61
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 98.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 73.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 88.55
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 115.9,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 74.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 74.41
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 98.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 36.96,
              "estimated_amount": 36.96
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 93.76
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 84.61
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 75.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 73.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 95.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 95.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 63.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 88.55
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 86.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 101.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 73.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 73.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 88.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 88.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 74.41
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 14.87,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.15,
              "estimated_amount": 35.15
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.15,
              "estimated_amount": 35.15
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 14.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 98.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 36.96,
              "estimated_amount": 36.96
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 75.45
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 84.61
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.15,
              "estimated_amount": 35.15
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 98.52
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 63.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 63.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 74.41
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 14.87,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 96.08
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 96.08
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.46,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 73.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 74.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 74.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 74.41
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 115.9,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 75.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.15,
              "estimated_amount": 35.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 101.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 74.41
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 14.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 14.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 115.9,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 95.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 95.04
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 98.52
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 115.9,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 36.96,
              "estimated_amount": 36.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 86.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 36.96,
              "estimated_amount": 36.96
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 14.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 98.52
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 98.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 74.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 74.41
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.46,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 14.87,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 95.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 95.04
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.46,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 115.9,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 36.96,
              "estimated_amount": 36.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 36.96,
              "estimated_amount": 36.96
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 75.45
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 84.61
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 76.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 36.96,
              "estimated_amount": 36.96
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 14.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 14.87,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 96.08
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 14.87,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 98.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 36.96,
              "estimated_amount": 36.96
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 75.45
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 98.52
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 95.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 63.75
            }
          ],
          "minimum": 35.15,
          "maximum": 36.96
        }
      ]
    },
    {
      "description": "CARFILZOMIB 10 MG INTRAVENOUS SOLUTION",
      "drug_information": {
        "unit": "5",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-185737",
          "type": "CDM"
        },
        {
          "code": "J9047",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2346.4,
          "discounted_cash": 1525.16,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1482.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1290.52
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1290.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1506.39
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 462.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 462.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 513.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1345,
              "estimated_amount": 1345
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1345,
              "estimated_amount": 1345
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1712.87
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 1525.16
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1994.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1506.39
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1945.17
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 485.47,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2057.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1482.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1482.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1506.39
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1994.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1345,
              "estimated_amount": 1345
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1345,
              "estimated_amount": 1345
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1345,
              "estimated_amount": 1345
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1712.87
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1712.87
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1994.44
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1548.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1792.65
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2346.4,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1290.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1506.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1792.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 466.98,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1994.44
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1759.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1345,
              "estimated_amount": 1345
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1345,
              "estimated_amount": 1345
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1527.51
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1712.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1345,
              "estimated_amount": 1345
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1345,
              "estimated_amount": 1345
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1994.44
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1994.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1924.05
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1945.17
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 462.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 462.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1924.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1290.52
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1290.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1792.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 466.98,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 462.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1712.87
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1104.01,
              "estimated_amount": 1104.01
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1994.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1898.24
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 462.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1104.01,
              "estimated_amount": 1104.01
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1104.01,
              "estimated_amount": 1104.01
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2346.4,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1759.8
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2346.4,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1924.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1506.39
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 466.98,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 2064.83
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1527.51
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1104.01,
              "estimated_amount": 1104.01
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1994.44
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 640.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1345,
              "estimated_amount": 1345
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1345,
              "estimated_amount": 1345
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1345,
              "estimated_amount": 1345
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1994.44
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1994.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1506.39
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1945.17
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 485.47,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1482.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1482.92
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1924.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1290.52
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2346.4,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1345,
              "estimated_amount": 1345
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1712.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1482.92
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1924.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1924.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1506.39
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 466.98,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 485.47,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1924.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1792.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1506.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1506.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1506.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1792.65
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 462.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1994.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1345,
              "estimated_amount": 1345
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1527.51
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1759.8
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2346.4,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1345,
              "estimated_amount": 1345
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2057.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1924.05
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 462.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 485.47,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1482.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1290.52
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 466.98,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1345,
              "estimated_amount": 1345
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1898.24
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 462.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1994.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1345,
              "estimated_amount": 1345
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1527.51
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 462.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1482.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1506.39
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1527.51
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1104.01,
              "estimated_amount": 1104.01
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1994.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1506.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1792.65
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1994.44
            }
          ],
          "minimum": 1104.01,
          "maximum": 1345
        }
      ]
    },
    {
      "description": "SODIUM ZIRCONIUM CYCLOSILICATE 10 GRAM ORAL POWDER PACKET",
      "drug_information": {
        "unit": "1",
        "type": "UN"
      },
      "code_information": [
        {
          "code": "RX-185748",
          "type": "CDM"
        },
        {
          "code": "63700001",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 61.6,
          "discounted_cash": 40.04,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 38.93
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 50.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 39.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 47.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 49.83
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 44.97
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 39.98
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 46.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 38.93
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 33.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 39.55
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 52.36
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 52.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 38.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 54.02
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 33.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 38.68
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 40.04
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 52.36
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 52.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 38.93
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 33.88
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 52.36
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 16.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 33.88
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 33.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 39.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 38.93
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 50.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 39.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 39.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 39.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 38.68
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 44.97
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 38.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 38.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 38.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 38.68
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 52.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 39.55
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 51.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 50.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 39.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 38.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 38.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 39.98
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 44.97
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 46.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 50.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 39.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 47.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 47.06
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 52.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 38.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 38.93
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 50.51
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 51.07
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 52.36
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 40.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 40.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 61.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 34.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 38.68
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 34.19
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 34.19
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 40.66
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 52.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 38.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 47.06
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 46.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 54.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 50.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 50.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 39.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 39.55
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 51.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 38.68
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 44.97
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 52.36
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 40.1
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 52.36
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 33.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 47.06
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 33.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 47.06
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 54.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 38.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 39.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 49.83
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 44.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 40.1
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 44.97
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 34.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 38.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 38.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 39.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 40.1
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 52.36
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 50.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 39.55
            }
          ]
        }
      ]
    },
    {
      "description": "FAT EMULSION-OLIVE OIL-SOYBEAN OIL-EGG PHOSPHOLIPID 20 % INTRAVENOUS",
      "drug_information": {
        "unit": "250",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-188853",
          "type": "CDM"
        },
        {
          "code": "25000049",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 90.9,
          "discounted_cash": 59.08,
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              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
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              "estimated_amount": 57.45
            },
            {
              "payer_name": "MMO [485]",
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            {
              "payer_name": "GREATWEST [550]",
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            },
            {
              "payer_name": "FLORA [411]",
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            },
            {
              "payer_name": "UHC [625]",
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            },
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            {
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            {
              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 57.09
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
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              "payer_name": "AETNA [310]",
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              "estimated_amount": 58.36
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              "payer_name": "GREATWEST [550]",
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            },
            {
              "payer_name": "MMO [485]",
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              "payer_name": "AETNA [310]",
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            {
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            {
              "payer_name": "CIGNA [370]",
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              "estimated_amount": 59.18
            },
            {
              "payer_name": "AETNA [310]",
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              "estimated_amount": 58.36
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            {
              "payer_name": "AETNA [310]",
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              "estimated_amount": 69.45
            },
            {
              "payer_name": "IHG [492]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 77.27
            },
            {
              "payer_name": "MMO [485]",
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              "standard_charge_percentage": 87.7,
              "estimated_amount": 79.72
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            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
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              "standard_charge_percentage": 82,
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            {
              "payer_name": "AETNA [310]",
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            {
              "payer_name": "CIGNA [370]",
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              "payer_name": "OSU [553]",
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              "standard_charge_percentage": 73,
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            },
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              "payer_name": "OSU [553]",
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              "standard_charge_percentage": 73,
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            },
            {
              "payer_name": "PARAMOUNT [555]",
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              "standard_charge_percentage": 85,
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            },
            {
              "payer_name": "PARAMOUNT [555]",
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              "standard_charge_percentage": 85,
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            },
            {
              "payer_name": "FIRST HEALTH [408]",
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            },
            {
              "payer_name": "UHC [625]",
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            {
              "payer_name": "HEALTHLINK [443]",
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              "estimated_amount": 68.18
            },
            {
              "payer_name": "MMO [485]",
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              "payer_name": "HEALTHREACH [540]",
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              "estimated_amount": 50
            },
            {
              "payer_name": "GREATWEST [550]",
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            {
              "payer_name": "MMO [485]",
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              "estimated_amount": 57.45
            },
            {
              "payer_name": "MMO [485]",
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              "standard_charge_percentage": 63.2,
              "estimated_amount": 57.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
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              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 50
            },
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              "payer_name": "AETNA [310]",
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              "estimated_amount": 69.45
            },
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              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
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              "estimated_amount": 79.99
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              "payer_name": "ANTHEM [335]",
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              "estimated_amount": 50.45
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            {
              "payer_name": "ANTHEM [335]",
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              "standard_charge_percentage": 55.5,
              "estimated_amount": 50.45
            },
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              "payer_name": "HUMANA [465]",
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              "estimated_amount": 59.09
            },
            {
              "payer_name": "HEALTHLINK [443]",
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              "standard_charge_percentage": 75,
              "estimated_amount": 68.18
            },
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              "payer_name": "SEORMC [545]",
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              "standard_charge_percentage": 66,
              "estimated_amount": 59.99
            },
            {
              "payer_name": "COVENTRY [406]",
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              "standard_charge_percentage": 85,
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            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
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              "standard_charge_percentage": 82,
              "estimated_amount": 74.54
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              "payer_name": "AETNA [310]",
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              "estimated_amount": 69.45
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 58.36
            },
            {
              "payer_name": "MMO [485]",
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              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 58.36
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            {
              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 57.09
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 64.9,
              "estimated_amount": 58.99
            },
            {
              "payer_name": "CIGNA [370]",
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              "standard_charge_percentage": 65.1,
              "estimated_amount": 59.18
            },
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              "payer_name": "OSU [553]",
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              "standard_charge_percentage": 73,
              "estimated_amount": 66.36
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 50.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 73.54
            },
            {
              "payer_name": "ANTHEM [335]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 50.45
            },
            {
              "payer_name": "COFINITY [407]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 77.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 79.72
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
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              "standard_charge_percentage": 75,
              "estimated_amount": 68.18
            },
            {
              "payer_name": "HEALTHREACH [540]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 50
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 57.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 57.09
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 57.09
            },
            {
              "payer_name": "OSU [553]",
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              "standard_charge_percentage": 73,
              "estimated_amount": 66.36
            },
            {
              "payer_name": "HEALTHSMART [493]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 77.27
            },
            {
              "payer_name": "UHC [625]",
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              "estimated_amount": 57.09
            },
            {
              "payer_name": "CIGNA [370]",
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              "standard_charge_percentage": 65.1,
              "estimated_amount": 59.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
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              "standard_charge_percentage": 82,
              "estimated_amount": 74.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
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              "standard_charge_percentage": 82,
              "estimated_amount": 74.54
            },
            {
              "payer_name": "HEALTHREACH [540]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 50
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 58.36
            },
            {
              "payer_name": "EMERALD [395]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 77.27
            },
            {
              "payer_name": "HEALTHREACH [540]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 50
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 50
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 69.45
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 76.4,
              "estimated_amount": 69.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 57.09
            },
            {
              "payer_name": "UHC [625]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 57.09
            },
            {
              "payer_name": "OSU [553]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 66.36
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 24.82
            },
            {
              "payer_name": "OSU [553]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 66.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 57.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
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              "standard_charge_percentage": 82,
              "estimated_amount": 74.54
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 50
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 58.36
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 58.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 58.36
            },
            {
              "payer_name": "UHC [625]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 57.09
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 90.9
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 77.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 58.99
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 59.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 58.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 58.36
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 77.27
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 77.27
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 74.54
            }
          ]
        }
      ]
    },
    {
      "description": "INSULIN REGULAR 100 UNIT/100 ML (1 UNIT/ML) IN 0.9 % NACL IV SOLUTION",
      "drug_information": {
        "unit": "100",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-189021",
          "type": "CDM"
        },
        {
          "code": "J3590",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 120.35,
          "discounted_cash": 78.23,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 76.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 76.06
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 66.19
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 120.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 120.35,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 120.35,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 87.86
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 102.3
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 79.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 76.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 98.69
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 98.69
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 66.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 91.95
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 120.35,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 120.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 77.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 120.35,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 78.35
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 97.36
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 120.35,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 102.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 120.35,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 120.35,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 120.35,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 90.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 98.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 77.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 77.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 77.26
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 102.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 91.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 77.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 77.26
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 120.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 120.35,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 78.35
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 120.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 120.35,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 120.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 32.86
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 102.3
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 78.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 91.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 77.26
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 120.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 99.77
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 120.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 120.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 102.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 120.35,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 120.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 90.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 76.06
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 66.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 77.26
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 120.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 120.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 91.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 77.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 91.95
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 120.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 120.35,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 120.35,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 120.35,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 78.35
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 78.35
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 102.3
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 102.3
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 87.86
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 102.3
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 102.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 76.06
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 66.19
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 66.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 77.26
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 120.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 120.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 90.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 77.26
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 120.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 102.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 120.35,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 120.35,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 102.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 120.35,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 78.35
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 87.86
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 120.35,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 120.35,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 120.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 120.35,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 105.91
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 98.69
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 66.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 77.26
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 99.77
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 120.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 87.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 120.35,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 120.35,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 76.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 98.69
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 98.69
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 98.69
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 66.19
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 120.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 99.77
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 120.35,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 91.95
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 120.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 102.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 120.35,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 97.36
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 87.86
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 120.35,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 76.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 76.06
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 120.35,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 102.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 120.35,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 120.35,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 87.86
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 102.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 105.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 105.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 98.69
            }
          ]
        }
      ]
    },
    {
      "description": "SODIUM NITROPRUSSIDE 25 MG/ML INTRAVENOUS SOLUTION",
      "drug_information": {
        "unit": "2",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-18908",
          "type": "CDM"
        },
        {
          "code": "25000049",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 88.65,
          "discounted_cash": 57.62,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 56.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 56.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 56.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 72.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 67.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 56.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 55.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 57.53
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 64.71
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 64.71
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 66.49
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 75.35
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 57.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 55.67
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 71.72
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 88.65
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 75.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 55.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 55.67
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 75.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 56.03
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 48.76
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 73.49
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 75.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 72.69
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 72.69
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 73.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 55.67
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 71.72
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 75.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 55.67
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 57.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 56.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 56.03
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 75.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 72.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 56.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 67.73
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 78.01
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 49.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 49.2
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 75.35
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 57.71
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 24.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 56.91
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 75.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 77.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 72.69
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 48.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 57.71
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 49.2
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 58.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 57.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 55.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 55.67
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 48.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 56.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 56.91
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 73.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 56.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 56.91
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 57.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 55.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 55.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 57.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 55.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 57.53
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 64.71
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 75.35
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 75.35
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 66.49
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 48.76
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 48.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 56.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 56.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 77.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 72.69
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 72.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 67.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 67.73
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 49.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 55.67
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 56.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 67.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 56.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 56.91
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 66.49
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 64.71
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 64.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 55.67
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 72.69
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 48.76
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 48.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 56.91
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 57.71
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 64.71
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 75.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 67.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 56.91
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 75.35
            }
          ]
        }
      ]
    },
    {
      "description": "METHACHOLINE CHLORIDE 0.75 MG/3 ML (0.25 MG/ML) NEBULIZATION SOLUTION",
      "drug_information": {
        "unit": "1",
        "type": "UN"
      },
      "code_information": [
        {
          "code": "RX-192024",
          "type": "CDM"
        },
        {
          "code": "J7674",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 75.25,
          "discounted_cash": 48.91,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 47.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 61.71
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 62.38
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 63.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 63.96
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 63.96
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 63.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 61.71
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 41.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 57.49
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 54.93
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 63.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 41.39
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 41.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 61.71
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 41.39
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 62.38
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 48.99
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 48.99
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 63.96
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 63.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 47.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 57.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 57.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 48.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 48.31
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 41.39
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 54.93
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 63.96
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 48.91
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 48.99
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 61.71
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 63.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 47.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 48.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 48.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 57.49
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 54.93
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 54.93
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 20.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 47.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 61.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 48.31
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 62.38
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 63.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 65.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 57.49
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 60.88
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 56.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 47.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 61.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 48.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 48.31
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 63.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 41.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 48.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 57.49
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 60.88
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 54.93
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 56.44
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 63.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 54.93
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 49.67
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 47.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 61.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 48.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 48.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 56.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 61.71
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 41.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 48.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 48.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 66.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 63.96
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 63.96
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 48.99
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 48.99
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 47.56
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 65.99
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 47.56
            }
          ]
        }
      ]
    },
    {
      "description": "METHACHOLINE CHLORIDE 0 MG/3 ML (0 MG/ML) NEBULIZATION SOLUTION",
      "drug_information": {
        "unit": "1",
        "type": "UN"
      },
      "code_information": [
        {
          "code": "RX-192080",
          "type": "CDM"
        },
        {
          "code": "J7999",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 75.25,
          "discounted_cash": 48.91,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 47.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 47.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 57.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 48.31
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 63.96
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 48.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 65.99
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 47.56
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 41.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 48.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 57.49
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 61.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 48.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 57.49
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 48.99
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 48.99
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 56.44
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 49.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 75.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 41.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 48.31
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 63.96
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 66.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 47.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 61.71
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 41.39
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 56.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 63.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 54.93
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 41.76
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 63.96
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 63.96
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 63.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 61.71
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 41.39
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 47.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 57.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 48.99
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 54.93
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 54.93
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 41.76
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 60.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 61.71
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 62.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 47.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 61.71
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 61.71
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 63.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 54.93
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 63.96
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 63.96
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 48.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 57.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 48.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 48.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 48.31
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 62.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 47.56
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 56.44
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 63.96
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 63.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 41.39
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 41.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 48.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 48.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 57.49
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 41.39
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 41.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 54.93
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 54.93
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 62.38
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 63.96
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 48.99
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 41.76
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 20.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 60.88
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 63.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 65.99
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 47.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 61.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 48.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75.25,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 63.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 61.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 48.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 48.31
            }
          ]
        }
      ]
    },
    {
      "description": "EFGARTIGIMOD ALFA-FCAB 20 MG/ML INTRAVENOUS SOLUTION",
      "drug_information": {
        "unit": "20",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-196401",
          "type": "CDM"
        },
        {
          "code": "J9332",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 30920.45,
          "discounted_cash": 20098.29,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 19541.72
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 17006.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 17006.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 19850.93
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15008.76,
              "estimated_amount": 15008.76
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 20098.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 25014.64
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6284.94,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 25354.77
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 17006.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 19850.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 23623.22
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6284.94,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6347.79,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 19541.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 25354.77
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 17006.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 19850.93
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6347.79,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6284.94,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 26282.38
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 8441.28
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 26282.38
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 22571.93
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 22571.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 19541.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 25354.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 19850.93
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 26282.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 25354.77
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 25354.77
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 17006.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 19850.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 23623.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17410,
              "estimated_amount": 17410
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17410,
              "estimated_amount": 17410
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6284.94,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 30920.45,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 23190.34
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 26282.38
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 20129.21
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15008.76,
              "estimated_amount": 15008.76
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 20407.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 17006.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 19850.93
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 25633.05
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6284.94,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 30920.45,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 17006.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17410,
              "estimated_amount": 17410
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 20129.21
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 20129.21
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 20129.21
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 22571.93
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6284.94,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 26282.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17410,
              "estimated_amount": 17410
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17410,
              "estimated_amount": 17410
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15008.76,
              "estimated_amount": 15008.76
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 26282.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 19541.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 19850.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 19850.93
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 23190.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 25354.77
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6347.79,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 25633.05
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 25633.05
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 26282.38
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 26282.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17410,
              "estimated_amount": 17410
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17410,
              "estimated_amount": 17410
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17410,
              "estimated_amount": 17410
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17410,
              "estimated_amount": 17410
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17410,
              "estimated_amount": 17410
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17410,
              "estimated_amount": 17410
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 26282.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 19541.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 19850.93
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6599.18,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 23623.22
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6347.79,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6347.79,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6599.18,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 30920.45,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17410,
              "estimated_amount": 17410
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 26282.38
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 26282.38
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15008.76,
              "estimated_amount": 15008.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 27117.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 27117.23
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 27210
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 26282.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 19541.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 19850.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 20129.21
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 22571.93
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 22571.93
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 30920.45,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17410,
              "estimated_amount": 17410
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15008.76,
              "estimated_amount": 15008.76
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6284.94,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 19541.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 25354.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 19850.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 23623.22
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6284.94,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6284.94,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6599.18,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17410,
              "estimated_amount": 17410
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17410,
              "estimated_amount": 17410
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 25014.64
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 26282.38
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 26282.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17410,
              "estimated_amount": 17410
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 22571.93
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 23190.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 25354.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 23623.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 19850.93
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6284.94,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 6771.58
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 30920.45,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17410,
              "estimated_amount": 17410
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 19541.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 23623.22
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6599.18,
              "additional_payer_notes": "OPPS APC"
            }
          ],
          "minimum": 15008.76,
          "maximum": 17410
        }
      ]
    },
    {
      "description": "OFLOXACIN 0.3 % EYE DROPS",
      "drug_information": {
        "unit": "5",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-19746",
          "type": "CDM"
        },
        {
          "code": "63700001",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 66.55,
          "discounted_cash": 43.26,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 42.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 54.57
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 56.57
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 49.91
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 43.92
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 36.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 54.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 42.73
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 36.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 36.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 42.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 42.73
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 55.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 41.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 41.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 41.79
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 43.32
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 48.58
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 56.57
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 56.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 41.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 50.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 42.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 54.57
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 36.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 36.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 41.79
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 43.32
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 36.94
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 18.17
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 43.26
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 56.57
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 43.32
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 56.57
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 42.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 54.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 42.73
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 58.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 42.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 42.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 42.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 42.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 43.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 41.79
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 43.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 41.79
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 53.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 58.36
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 54.57
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 36.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 50.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 54.57
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 36.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 50.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 42.73
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 49.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 43.19
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 48.58
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 48.58
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 66.55
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 36.94
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 49.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 43.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 42.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 42.73
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 56.57
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 36.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 42.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 50.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 42.73
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 56.57
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 56.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 41.79
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 56.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 41.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 43.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 42.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 41.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 41.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 41.79
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 56.57
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 56.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 41.79
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 48.58
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 56.57
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 54.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 50.84
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 55.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
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              "standard_charge_percentage": 63.2,
              "estimated_amount": 42.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 54.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 42.73
            },
            {
              "payer_name": "CIGNA [370]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 53.84
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
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              "standard_charge_percentage": 73,
              "estimated_amount": 48.58
            },
            {
              "payer_name": "CIGNA [370]",
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              "standard_charge_percentage": 65.1,
              "estimated_amount": 43.32
            },
            {
              "payer_name": "ANTHEM [335]",
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              "standard_charge_percentage": 55.5,
              "estimated_amount": 36.94
            },
            {
              "payer_name": "MMO [485]",
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              "standard_charge_percentage": 87.7,
              "estimated_amount": 58.36
            },
            {
              "payer_name": "GREATWEST [550]",
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              "standard_charge_percentage": 82.9,
              "estimated_amount": 55.17
            },
            {
              "payer_name": "OSU [553]",
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              "standard_charge_percentage": 73,
              "estimated_amount": 48.58
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 42.73
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 76.4,
              "estimated_amount": 50.84
            }
          ]
        }
      ]
    },
    {
      "description": "UREA 10 % LOTION",
      "drug_information": {
        "unit": "236",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-19779",
          "type": "CDM"
        },
        {
          "code": "63700001",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 33.35,
          "discounted_cash": 21.68,
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            {
              "payer_name": "MMO [485]",
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              "standard_charge_percentage": 87.7,
              "estimated_amount": 29.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
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              "standard_charge_percentage": 82,
              "estimated_amount": 27.35
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 21.41
            },
            {
              "payer_name": "SEORMC [545]",
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              "standard_charge_percentage": 66,
              "estimated_amount": 22.01
            },
            {
              "payer_name": "CIGNA [370]",
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              "standard_charge_percentage": 80.9,
              "estimated_amount": 26.98
            },
            {
              "payer_name": "OSU [553]",
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              "standard_charge_percentage": 73,
              "estimated_amount": 24.35
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 21.41
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
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              "standard_charge_percentage": 75,
              "estimated_amount": 25.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
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              "standard_charge_percentage": 63.2,
              "estimated_amount": 21.08
            },
            {
              "payer_name": "HEALTHREACH [540]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 18.34
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            {
              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 20.94
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            {
              "payer_name": "CIGNA [370]",
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              "standard_charge_percentage": 65.1,
              "estimated_amount": 21.71
            },
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              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 64.9,
              "estimated_amount": 21.64
            },
            {
              "payer_name": "CIGNA [370]",
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              "standard_charge_percentage": 80.9,
              "estimated_amount": 26.98
            },
            {
              "payer_name": "OSU [553]",
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              "standard_charge_percentage": 73,
              "estimated_amount": 24.35
            },
            {
              "payer_name": "ANTHEM [335]",
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              "standard_charge_percentage": 55.5,
              "estimated_amount": 18.51
            },
            {
              "payer_name": "HEALTHSMART [493]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 28.35
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
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              "standard_charge_percentage": 27.3,
              "estimated_amount": 9.1
            },
            {
              "payer_name": "FIRST HEALTH [408]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 28.35
            },
            {
              "payer_name": "MMO [485]",
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              "standard_charge_percentage": 63.2,
              "estimated_amount": 21.08
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 76.4,
              "estimated_amount": 25.48
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              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 21.41
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
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              "standard_charge_percentage": 88,
              "estimated_amount": 29.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
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              "standard_charge_percentage": 63.2,
              "estimated_amount": 21.08
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 21.41
            },
            {
              "payer_name": "AETNA [310]",
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              "estimated_amount": 25.48
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 28.35
            },
            {
              "payer_name": "UHC [625]",
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              "estimated_amount": 20.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
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              "standard_charge_percentage": 64.9,
              "estimated_amount": 21.64
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 20.94
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 20.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 20.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
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              "standard_charge_percentage": 64.9,
              "estimated_amount": 21.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 21.64
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
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              "standard_charge_percentage": 73,
              "estimated_amount": 24.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 21.08
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 18.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 21.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 21.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 21.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 27.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 18.34
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 18.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 20.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 21.71
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 33.35
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 18.51
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 21.68
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 28.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 25.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 21.41
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 27.65
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 27.65
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 28.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 18.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 25.48
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 28.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 20.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 20.94
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 18.51
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 28.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 21.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 27.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 27.35
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 27.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 27.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 18.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 25.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 21.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 21.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 25.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 20.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 20.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 21.71
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 24.35
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 28.35
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 25.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
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              "standard_charge_percentage": 63.2,
              "estimated_amount": 21.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 27.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 27.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 18.34
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 24.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 20.94
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 18.51
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 25.01
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 28.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
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              "standard_charge_percentage": 82,
              "estimated_amount": 27.35
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 21.41
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 21.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 21.41
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 28.35
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 28.35
            },
            {
              "payer_name": "CIGNA [370]",
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              "standard_charge_percentage": 65.1,
              "estimated_amount": 21.71
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 20.94
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 20.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
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              "standard_charge_percentage": 65.1,
              "estimated_amount": 21.71
            },
            {
              "payer_name": "OSU [553]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 24.35
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 28.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 29.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 21.08
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 41.8,
          "discounted_cash": 27.17,
          "payers_information": [
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 26.84
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
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              "standard_charge_percentage": 88,
              "estimated_amount": 36.78
            },
            {
              "payer_name": "UHC [625]",
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              "estimated_amount": 26.25
            },
            {
              "payer_name": "UHC [625]",
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              "estimated_amount": 27.13
            },
            {
              "payer_name": "CIGNA [370]",
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              "estimated_amount": 27.21
            },
            {
              "payer_name": "OSU [553]",
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              "standard_charge_percentage": 73,
              "estimated_amount": 30.51
            },
            {
              "payer_name": "ANTHEM [335]",
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              "standard_charge_percentage": 55.5,
              "estimated_amount": 23.2
            },
            {
              "payer_name": "FIRST HEALTH [408]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 35.53
            },
            {
              "payer_name": "OSU [553]",
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              "standard_charge_percentage": 73,
              "estimated_amount": 30.51
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
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              "standard_charge_percentage": 27.3,
              "estimated_amount": 11.41
            },
            {
              "payer_name": "MMO [485]",
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              "estimated_amount": 26.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
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              "standard_charge_percentage": 82,
              "estimated_amount": 34.28
            },
            {
              "payer_name": "AETNA [310]",
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              "estimated_amount": 26.84
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              "payer_name": "AETNA [310]",
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            {
              "payer_name": "AETNA [310]",
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              "estimated_amount": 31.94
            },
            {
              "payer_name": "EMERALD [395]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 35.53
            },
            {
              "payer_name": "MMO [485]",
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              "standard_charge_percentage": 87.7,
              "estimated_amount": 36.66
            },
            {
              "payer_name": "HEALTHREACH [540]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 22.99
            },
            {
              "payer_name": "ANTHEM [335]",
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              "standard_charge_percentage": 55.5,
              "estimated_amount": 23.2
            },
            {
              "payer_name": "UHC [625]",
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              "estimated_amount": 26.25
            },
            {
              "payer_name": "CIGNA [370]",
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              "standard_charge_percentage": 80.9,
              "estimated_amount": 33.82
            },
            {
              "payer_name": "ANTHEM [335]",
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              "standard_charge_percentage": 55.5,
              "estimated_amount": 23.2
            },
            {
              "payer_name": "MMO [485]",
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              "standard_charge_percentage": 63.2,
              "estimated_amount": 26.42
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 26.84
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 76.4,
              "estimated_amount": 31.94
            },
            {
              "payer_name": "CIGNA [370]",
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              "standard_charge_percentage": 65.1,
              "estimated_amount": 27.21
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 35.53
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 26.25
            },
            {
              "payer_name": "OSU [553]",
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              "standard_charge_percentage": 73,
              "estimated_amount": 30.51
            },
            {
              "payer_name": "OSU [553]",
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              "standard_charge_percentage": 73,
              "estimated_amount": 30.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
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              "standard_charge_percentage": 63.2,
              "estimated_amount": 26.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
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              "standard_charge_percentage": 82,
              "estimated_amount": 34.28
            },
            {
              "payer_name": "UHC [625]",
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              "estimated_amount": 26.25
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 64.9,
              "estimated_amount": 27.13
            },
            {
              "payer_name": "COFINITY [407]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 35.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 36.66
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 22.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
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              "standard_charge_percentage": 76.4,
              "estimated_amount": 31.94
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 34.65
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 31.35
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 35.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 26.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 26.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 26.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
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              "standard_charge_percentage": 65.1,
              "estimated_amount": 27.21
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 34.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 34.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 34.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 31.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 26.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 26.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 34.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 34.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 22.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 31.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 26.84
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 23.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 26.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 27.13
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 41.8
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 35.53
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 35.53
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 31.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 26.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 26.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 22.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 26.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 26.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 34.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 22.99
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 22.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 31.94
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 34.65
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 35.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 26.25
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 27.17
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 31.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 26.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 26.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 26.25
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 30.51
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 27.59
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 22.99
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 30.51
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 35.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 26.25
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 35.53
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 35.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 26.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 26.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 26.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 26.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 26.84
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 34.65
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 35.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 27.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
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              "standard_charge_percentage": 65.1,
              "estimated_amount": 27.21
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 33.82
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 27.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 26.84
            }
          ]
        }
      ]
    },
    {
      "description": "CEFAZOLIN 3 GRAM INTRAVENOUS SOLUTION",
      "drug_information": {
        "unit": "15",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-200449",
          "type": "CDM"
        },
        {
          "code": "J0688",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 57.3,
          "discounted_cash": 37.24,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 50.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 43.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
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              "standard_charge_dollar": 15.96,
              "estimated_amount": 15.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.96,
              "estimated_amount": 15.96
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.16,
              "estimated_amount": 15.16
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 37.25
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 48.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
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              "standard_charge_dollar": 15.96,
              "estimated_amount": 15.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
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              "standard_charge_dollar": 15.96,
              "estimated_amount": 15.96
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.16,
              "estimated_amount": 15.16
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 48.71
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 31.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 36.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 43.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 36.21
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 46.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 43.78
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 37.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 36.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 36.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 36.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 36.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 36.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 36.21
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 31.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 43.78
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 47.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.96,
              "estimated_amount": 15.96
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 37.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.96,
              "estimated_amount": 15.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.96,
              "estimated_amount": 15.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 36.21
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 47.5
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 48.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 50.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 46.99
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 48.71
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 37.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.96,
              "estimated_amount": 15.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.96,
              "estimated_amount": 15.96
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 41.83
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.16,
              "estimated_amount": 15.16
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 48.71
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 46.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 36.79
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 48.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 36.21
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 46.99
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 31.52
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 31.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
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              "standard_charge_dollar": 15.96,
              "estimated_amount": 15.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
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              "standard_charge_dollar": 15.96,
              "estimated_amount": 15.96
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.16,
              "estimated_amount": 15.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 46.36
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 41.83
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 42.98
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 31.52
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 47.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
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              "standard_charge_percentage": 63.2,
              "estimated_amount": 36.21
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 46.99
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 46.99
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 31.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 36.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 43.78
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 41.83
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
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              "standard_charge_percentage": 73,
              "estimated_amount": 41.83
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 48.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
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              "standard_charge_dollar": 15.96,
              "estimated_amount": 15.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.96,
              "estimated_amount": 15.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 46.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 36.79
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 48.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.96,
              "estimated_amount": 15.96
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 48.71
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 37.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 37.3
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 41.83
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.16,
              "estimated_amount": 15.16
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 48.71
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
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              "standard_charge_percentage": 82,
              "estimated_amount": 46.99
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 31.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
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              "standard_charge_percentage": 76.4,
              "estimated_amount": 43.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 36.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 36.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 36.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 36.79
            },
            {
              "payer_name": "OSU [553]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 41.83
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 48.71
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 42.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
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              "standard_charge_dollar": 15.96,
              "estimated_amount": 15.96
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
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              "standard_charge_percentage": 65.1,
              "estimated_amount": 37.3
            },
            {
              "payer_name": "CIGNA [370]",
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              "standard_charge_percentage": 80.9,
              "estimated_amount": 46.36
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
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              "standard_charge_percentage": 27.3,
              "estimated_amount": 15.64
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 36.79
            },
            {
              "payer_name": "UHC [625]",
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              "estimated_amount": 15.96
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_dollar": 15.96,
              "estimated_amount": 15.96
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 36.79
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
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              "standard_charge_percentage": 75,
              "estimated_amount": 42.98
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 50.42
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 48.71
            }
          ],
          "minimum": 15.16,
          "maximum": 15.96
        }
      ]
    },
    {
      "description": "RISPERIDONE ER 125 MG/0.35 ML SUBCUTANEOUS EXTEND RELEASE SUSP SYRINGE",
      "drug_information": {
        "unit": "0.35",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-201069",
          "type": "CDM"
        },
        {
          "code": "J2799",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 13866.9,
          "discounted_cash": 9013.48,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
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              "standard_charge_percentage": 63.2,
              "estimated_amount": 8763.88
            },
            {
              "payer_name": "MMO [485]",
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              "standard_charge_percentage": 63.2,
              "estimated_amount": 8763.88
            },
            {
              "payer_name": "HEALTHREACH [540]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 7626.8
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 8902.55
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 11786.87
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
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              "standard_charge_percentage": 75,
              "estimated_amount": 10400.18
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
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              "standard_charge_percentage": 65.1,
              "estimated_amount": 9027.35
            },
            {
              "payer_name": "SEORMC [545]",
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              "standard_charge_percentage": 66,
              "estimated_amount": 9152.15
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 8902.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 8902.55
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 11786.87
            },
            {
              "payer_name": "MMO [485]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 12161.27
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
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              "standard_charge_percentage": 82,
              "estimated_amount": 11370.86
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
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              "standard_charge_percentage": 82,
              "estimated_amount": 11370.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
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              "standard_charge_dollar": 8496.25,
              "estimated_amount": 8496.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
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              "standard_charge_dollar": 8496.25,
              "estimated_amount": 8496.25
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
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              "standard_charge_percentage": 73,
              "estimated_amount": 10122.84
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
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              "standard_charge_percentage": 73,
              "estimated_amount": 10122.84
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11786.87
            },
            {
              "payer_name": "PARAMOUNT [555]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11786.87
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
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              "standard_charge_percentage": 75,
              "estimated_amount": 10400.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
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              "standard_charge_dollar": 8496.25,
              "estimated_amount": 8496.25
            },
            {
              "payer_name": "OSU [553]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 10122.84
            },
            {
              "payer_name": "OSU [553]",
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              "standard_charge_percentage": 73,
              "estimated_amount": 10122.84
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7139.93,
              "estimated_amount": 7139.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8763.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
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              "standard_charge_percentage": 76.4,
              "estimated_amount": 10594.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8496.25,
              "estimated_amount": 8496.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
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              "standard_charge_percentage": 80.9,
              "estimated_amount": 11218.32
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7139.93,
              "estimated_amount": 7139.93
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 10400.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8763.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8902.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 10594.31
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 11370.86
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 11370.86
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7626.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8902.55
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11786.87
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 9027.35
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11786.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8496.25,
              "estimated_amount": 8496.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8496.25,
              "estimated_amount": 8496.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 9027.35
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 9027.35
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 10122.84
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11786.87
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11786.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 10594.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 10594.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8902.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 11370.86
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7626.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 10594.31
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 3785.66
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 9013.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8496.25,
              "estimated_amount": 8496.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7626.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8902.55
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11786.87
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 12202.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 12161.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8902.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8902.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8496.25,
              "estimated_amount": 8496.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
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              "standard_charge_dollar": 8496.25,
              "estimated_amount": 8496.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
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              "standard_charge_dollar": 8496.25,
              "estimated_amount": 8496.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
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              "standard_charge_dollar": 8496.25,
              "estimated_amount": 8496.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 9027.35
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7139.93,
              "estimated_amount": 7139.93
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7626.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7626.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7626.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 8902.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 10594.31
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 11495.66
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 11786.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8496.25,
              "estimated_amount": 8496.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
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              "standard_charge_dollar": 8496.25,
              "estimated_amount": 8496.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7139.93,
              "estimated_amount": 7139.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8763.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8763.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 11370.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8902.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8763.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8496.25,
              "estimated_amount": 8496.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 11218.32
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 10122.84
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7139.93,
              "estimated_amount": 7139.93
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11786.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
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              "standard_charge_dollar": 8496.25,
              "estimated_amount": 8496.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
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              "standard_charge_dollar": 8496.25,
              "estimated_amount": 8496.25
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 11786.87
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
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              "standard_charge_percentage": 82,
              "estimated_amount": 11370.86
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
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              "standard_charge_percentage": 82,
              "estimated_amount": 11370.86
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 8902.55
            },
            {
              "payer_name": "GREATWEST [550]",
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              "standard_charge_percentage": 82.9,
              "estimated_amount": 11495.66
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_dollar": 8496.25,
              "estimated_amount": 8496.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8763.88
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 11495.66
            }
          ],
          "minimum": 7139.93,
          "maximum": 8496.25
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      ]
    },
    {
      "description": "ROPINIROLE 1 MG TABLET",
      "drug_information": {
        "unit": "1",
        "type": "UN"
      },
      "code_information": [
        {
          "code": "RX-21689",
          "type": "CDM"
        },
        {
          "code": "63700001",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 5.65,
          "discounted_cash": 3.67,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
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              "estimated_amount": 3.57
            },
            {
              "payer_name": "MMO [485]",
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              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.57
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
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              "standard_charge_percentage": 82,
              "estimated_amount": 4.63
            },
            {
              "payer_name": "AETNA [310]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.63
            },
            {
              "payer_name": "CIGNA [370]",
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              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.68
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 3.67
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.55
            },
            {
              "payer_name": "CIGNA [370]",
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              "standard_charge_percentage": 80.9,
              "estimated_amount": 4.57
            },
            {
              "payer_name": "ANTHEM [335]",
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              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.14
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.63
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 3.11
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 3.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
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              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.32
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 3.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.63
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.55
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.12
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
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              "standard_charge_percentage": 64.9,
              "estimated_amount": 3.67
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.12
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.57
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.63
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.55
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.12
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.57
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.57
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.57
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.68
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 4.97
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.55
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.14
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.55
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 3.67
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.63
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.68
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.68
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 3.67
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 3.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.68
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.63
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.32
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.55
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.14
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 5.65
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 3.73
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.32
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.12
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.57
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.57
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.63
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.12
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.32
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.8
            }
          ]
        }
      ]
    },
    {
      "description": "QUETIAPINE 25 MG TABLET",
      "drug_information": {
        "unit": "1",
        "type": "UN"
      },
      "code_information": [
        {
          "code": "RX-21823",
          "type": "CDM"
        },
        {
          "code": "63700001",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 5,
          "discounted_cash": 3.25,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.82
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.15
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.14
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.78
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 3.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.26
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 3.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 4.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.82
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.15
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.78
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 3.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.21
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.14
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.65
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.65
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 3.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.21
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.14
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.65
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.78
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4.05
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.21
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.26
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.14
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.21
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 3.25
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1.37
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.21
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.75
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.26
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.65
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.78
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 3.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.14
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.21
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.75
            }
          ]
        }
      ]
    },
    {
      "description": "RITUXIMAB 10 MG/ML CONCENTRATE,INTRAVENOUS",
      "drug_information": {
        "unit": "50",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-22149",
          "type": "CDM"
        },
        {
          "code": "J9312",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 16645.35,
          "discounted_cash": 10819.48,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10519.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10519.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10519.86
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13649.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12717.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10686.31
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3864.73,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10525.5,
              "estimated_amount": 10525.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12151.11
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 10985.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10525.5,
              "estimated_amount": 10525.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13649.19
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 13799
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3864.73,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3864.73,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10519.86
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9154.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10686.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10686.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10686.31
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 13799
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3864.73,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 12484.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10525.5,
              "estimated_amount": 10525.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10525.5,
              "estimated_amount": 10525.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12151.11
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 12484.01
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3864.73,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13649.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10686.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10519.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12717.05
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14148.55
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14148.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10525.5,
              "estimated_amount": 10525.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14148.55
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 12484.01
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14148.55
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14148.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3903.38,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3864.73,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4057.96,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10519.86
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9154.94
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9154.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12717.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12717.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10686.31
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 16645.35,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10525.5,
              "estimated_amount": 10525.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10525.5,
              "estimated_amount": 10525.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10836.12
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12151.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10525.5,
              "estimated_amount": 10525.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10525.5,
              "estimated_amount": 10525.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10525.5,
              "estimated_amount": 10525.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10836.12
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14148.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13649.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10686.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3903.38,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3864.73,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14148.55
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14148.55
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14148.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9154.94
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3903.38,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 3645.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10525.5,
              "estimated_amount": 10525.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10836.12
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9227.79,
              "estimated_amount": 9227.79
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9227.79,
              "estimated_amount": 9227.79
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 4544.18
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14148.55
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9227.79,
              "estimated_amount": 9227.79
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9227.79,
              "estimated_amount": 9227.79
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14148.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10686.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10686.31
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4057.96,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 14597.97
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9154.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12717.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3903.38,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3864.73,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4057.96,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4057.96,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 16645.35,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10525.5,
              "estimated_amount": 10525.5
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14148.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 13466.09
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 10819.48
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 16645.35,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13649.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10686.31
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 14647.91
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13649.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13649.19
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9154.94
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3903.38,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14148.55
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14148.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10525.5,
              "estimated_amount": 10525.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10525.5,
              "estimated_amount": 10525.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10836.12
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12151.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10519.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12717.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10519.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 14597.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10686.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 13466.09
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12151.11
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3864.73,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 16645.35,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10525.5,
              "estimated_amount": 10525.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10525.5,
              "estimated_amount": 10525.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12151.11
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3864.73,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9227.79,
              "estimated_amount": 9227.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10686.31
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 13799
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 16645.35,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10525.5,
              "estimated_amount": 10525.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10836.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13649.19
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9154.94
            }
          ],
          "minimum": 9227.79,
          "maximum": 10525.5
        },
        {
          "setting": "outpatient",
          "gross_charge": 3394.75,
          "discounted_cash": 2206.59,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2977.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1867.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2593.59
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 811.59,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2105.1,
              "estimated_amount": 2105.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2105.1,
              "estimated_amount": 2105.1
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 772.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 772.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1845.56,
              "estimated_amount": 1845.56
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3394.75,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2783.7
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 2987.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2977.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2783.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2783.7
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 772.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2105.1,
              "estimated_amount": 2105.1
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 772.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2105.1,
              "estimated_amount": 2105.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2209.98
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2478.17
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2546.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2145.48
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1867.11
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1867.11
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1867.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2179.43
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 780.68,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 772.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 811.59,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3394.75,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2145.48
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2783.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2179.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2593.59
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 780.68,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 780.68,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3394.75,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2478.17
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2885.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2105.1,
              "estimated_amount": 2105.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2105.1,
              "estimated_amount": 2105.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2145.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2179.43
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 772.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2145.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2179.43
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 811.59,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2105.1,
              "estimated_amount": 2105.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1845.56,
              "estimated_amount": 1845.56
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2885.54
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2885.54
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2885.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2105.1,
              "estimated_amount": 2105.1
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2478.17
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 2206.59
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3394.75,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2593.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2593.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2179.43
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2814.25
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2885.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2783.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2783.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2179.43
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 780.68,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 772.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 743.45
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2885.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2105.1,
              "estimated_amount": 2105.1
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2885.54
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2885.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2105.1,
              "estimated_amount": 2105.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2209.98
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2885.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2145.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2593.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2179.43
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2814.25
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 772.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 811.59,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2105.1,
              "estimated_amount": 2105.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2746.35
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2209.98
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2478.17
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2885.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2105.1,
              "estimated_amount": 2105.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2746.35
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1845.56,
              "estimated_amount": 1845.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2145.48
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2783.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2783.7
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 772.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3394.75,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2546.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2145.48
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1867.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2179.43
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2814.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2105.1,
              "estimated_amount": 2105.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2209.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1845.56,
              "estimated_amount": 1845.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1845.56,
              "estimated_amount": 1845.56
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1867.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2179.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2179.43
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2885.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2179.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2179.43
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 772.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2105.1,
              "estimated_amount": 2105.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2105.1,
              "estimated_amount": 2105.1
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2478.17
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2478.17
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 926.77
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2885.54
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 2240.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2105.1,
              "estimated_amount": 2105.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2209.98
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2885.54
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2546.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2145.48
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1867.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2593.59
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 780.68,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2885.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2105.1,
              "estimated_amount": 2105.1
            }
          ],
          "minimum": 1845.56,
          "maximum": 2105.1
        }
      ]
    },
    {
      "description": "DORZOLAMIDE 22.3 MG-TIMOLOL 6.8 MG/ML EYE DROPS",
      "drug_information": {
        "unit": "10",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-22982",
          "type": "CDM"
        },
        {
          "code": "63700001",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 85.85,
          "discounted_cash": 55.8,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 54.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 54.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 65.59
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 55.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 54.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 65.59
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 70.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 47.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 55.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 55.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 53.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 53.91
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 55.89
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 62.67
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 69.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 55.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 54.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 54.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 70.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 55.12
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 72.97
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 53.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 53.91
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 72.97
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 56.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 53.91
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 55.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 69.45
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 64.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 54.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 55.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 65.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 54.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 55.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 65.59
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 64.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 53.91
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 62.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 53.91
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 62.67
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 47.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 55.12
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 47.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 65.59
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 47.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 53.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 55.72
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 23.44
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 72.97
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 64.39
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 72.97
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 72.97
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 70.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 70.4
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 71.17
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 75.55
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 72.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 54.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 70.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 65.59
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 47.65
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 72.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 55.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 55.89
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 62.67
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 47.65
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 47.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 55.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 55.12
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 72.97
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 47.22
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 71.17
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 47.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 53.91
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 55.89
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 62.67
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 47.22
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 72.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 75.29
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 70.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 55.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 53.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 53.91
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 85.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 72.97
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 72.97
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 53.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 53.91
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 72.97
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 70.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 55.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 55.12
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 71.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 55.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 55.72
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 62.67
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 75.29
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 70.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 47.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 55.12
            }
          ]
        }
      ]
    },
    {
      "description": "DICLOXACILLIN 250 MG CAPSULE",
      "drug_information": {
        "unit": "1",
        "type": "UN"
      },
      "code_information": [
        {
          "code": "RX-2414",
          "type": "CDM"
        },
        {
          "code": "63700001",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 6.25,
          "discounted_cash": 4.06,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 5.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.78
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 4.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4.07
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.47
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 4.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.13
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.13
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.13
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.93
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.31
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4.07
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.31
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.01
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 5.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.93
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.01
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.31
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.13
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.78
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.31
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4.69
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 5.06
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.56
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.56
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.01
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 5.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.01
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 5.18
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 5.18
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 4.06
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.47
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.31
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 5.48
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.13
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.95
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 6.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.01
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.13
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 4.06
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.56
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4.69
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 4.06
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4.07
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 5.06
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.47
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 4.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4.07
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.56
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1.71
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.31
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.44
            }
          ]
        }
      ]
    },
    {
      "description": "BELLADONNA ALKALOIDS-OPIUM 16.2 MG-60 MG RECTAL SUPPOSITORY",
      "drug_information": {
        "unit": "1",
        "type": "UN"
      },
      "code_information": [
        {
          "code": "RX-24731",
          "type": "CDM"
        },
        {
          "code": "63700001",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 82.05,
          "discounted_cash": 53.33,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
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              "standard_charge_percentage": 87.7,
              "estimated_amount": 71.96
            },
            {
              "payer_name": "MMO [485]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 71.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 45.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 52.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 51.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 66.38
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 45.54
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 53.33
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 67.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 52.68
            },
            {
              "payer_name": "MMO [485]",
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              "standard_charge_percentage": 63.2,
              "estimated_amount": 51.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
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              "standard_charge_percentage": 76.4,
              "estimated_amount": 62.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 53.25
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 59.9
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 69.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 51.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
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              "standard_charge_percentage": 64.9,
              "estimated_amount": 53.25
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 69.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 51.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 52.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 52.68
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 72.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 51.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 51.86
            },
            {
              "payer_name": "AETNA [310]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 52.68
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 51.53
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 45.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 53.41
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 45.54
            },
            {
              "payer_name": "HEALTHSMART [493]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 69.74
            },
            {
              "payer_name": "HEALTHLINK [443]",
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              "standard_charge_percentage": 75,
              "estimated_amount": 61.54
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
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              "standard_charge_percentage": 66,
              "estimated_amount": 54.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
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              "standard_charge_percentage": 82,
              "estimated_amount": 67.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 45.13
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 52.68
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 76.4,
              "estimated_amount": 62.69
            },
            {
              "payer_name": "AETNA [310]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 62.69
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
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              "standard_charge_percentage": 82.9,
              "estimated_amount": 68.02
            },
            {
              "payer_name": "EMERALD [395]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 69.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 51.86
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 51.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 51.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
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              "standard_charge_percentage": 65.1,
              "estimated_amount": 53.41
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 82.05
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 69.74
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 69.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 51.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 53.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 67.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 52.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 62.69
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 68.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 67.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 45.13
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 45.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
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              "standard_charge_percentage": 76.4,
              "estimated_amount": 62.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 51.53
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 69.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 51.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 53.25
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 59.9
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 69.74
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 45.13
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 69.74
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 61.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 51.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 52.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 52.68
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 59.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 51.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 51.53
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 45.54
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 69.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
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              "standard_charge_percentage": 63.2,
              "estimated_amount": 51.86
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 45.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 51.53
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 59.9
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 22.4
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 61.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 51.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 53.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 53.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 51.86
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 67.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 67.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 67.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 45.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 52.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 52.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 67.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 62.69
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 59.9
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 59.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 51.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 66.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 52.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 53.41
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 69.74
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 68.02
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 69.74
            }
          ]
        }
      ]
    },
    {
      "description": "DIPHENHYDRAMINE 25 MG TABLET",
      "drug_information": {
        "unit": "1",
        "type": "UN"
      },
      "code_information": [
        {
          "code": "RX-2505",
          "type": "CDM"
        },
        {
          "code": "25000049",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.2,
          "discounted_cash": 0.13,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.16
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.16
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.16
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
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              "standard_charge_percentage": 82,
              "estimated_amount": 0.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "OSU [553]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "OSU [553]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
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              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.11
            }
          ]
        }
      ]
    },
    {
      "description": "PORACTANT ALFA 120 MG/1.5 ML INTRATRACHEAL SUSPENSION",
      "drug_information": {
        "unit": "1.5",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-27047",
          "type": "CDM"
        },
        {
          "code": "25000049",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1653.3,
          "discounted_cash": 1074.64,
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            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
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              "standard_charge_percentage": 63.2,
              "estimated_amount": 1044.89
            },
            {
              "payer_name": "MMO [485]",
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              "standard_charge_percentage": 63.2,
              "estimated_amount": 1044.89
            },
            {
              "payer_name": "GREATWEST [550]",
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              "standard_charge_percentage": 82.9,
              "estimated_amount": 1370.59
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 1405.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
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              "standard_charge_percentage": 65.1,
              "estimated_amount": 1076.3
            },
            {
              "payer_name": "OSU [553]",
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              "standard_charge_percentage": 73,
              "estimated_amount": 1206.91
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1405.31
            },
            {
              "payer_name": "HEALTHSMART [493]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 1405.31
            },
            {
              "payer_name": "PARAMOUNT [555]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 1405.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
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              "standard_charge_percentage": 65.1,
              "estimated_amount": 1076.3
            },
            {
              "payer_name": "HEALTHLINK [443]",
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              "standard_charge_percentage": 75,
              "estimated_amount": 1239.98
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
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              "standard_charge_percentage": 82,
              "estimated_amount": 1355.71
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 1061.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
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              "standard_charge_percentage": 82,
              "estimated_amount": 1355.71
            },
            {
              "payer_name": "HEALTHREACH [540]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 909.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 909.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 1061.42
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
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              "standard_charge_percentage": 75,
              "estimated_amount": 1239.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 1038.27
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 1038.27
            },
            {
              "payer_name": "ANTHEM [335]",
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              "standard_charge_percentage": 55.5,
              "estimated_amount": 917.58
            },
            {
              "payer_name": "HEALTHLINK [443]",
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              "standard_charge_percentage": 75,
              "estimated_amount": 1239.98
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 1038.27
            },
            {
              "payer_name": "OSU [553]",
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              "standard_charge_percentage": 73,
              "estimated_amount": 1206.91
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 76.4,
              "estimated_amount": 1263.12
            },
            {
              "payer_name": "MMO [485]",
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              "standard_charge_percentage": 63.2,
              "estimated_amount": 1044.89
            },
            {
              "payer_name": "HEALTHREACH [540]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 909.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
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              "standard_charge_percentage": 76.4,
              "estimated_amount": 1263.12
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 1061.42
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 1061.42
            },
            {
              "payer_name": "GREATWEST [550]",
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              "standard_charge_percentage": 82.9,
              "estimated_amount": 1370.59
            },
            {
              "payer_name": "EMERALD [395]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 1405.31
            },
            {
              "payer_name": "CIGNA [370]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1076.3
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
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              "standard_charge_percentage": 27.3,
              "estimated_amount": 451.35
            },
            {
              "payer_name": "OSU [553]",
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              "standard_charge_percentage": 73,
              "estimated_amount": 1206.91
            },
            {
              "payer_name": "PARAMOUNT [555]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 1405.31
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 1405.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1044.89
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 909.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 909.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1263.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1061.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1044.89
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 76.4,
              "estimated_amount": 1263.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1263.12
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1370.59
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1405.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 1038.27
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 917.58
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1405.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 1038.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1449.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1061.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1061.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 1038.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 1038.27
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 1405.31
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1355.71
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
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              "standard_charge_percentage": 82,
              "estimated_amount": 1355.71
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1355.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1061.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1061.42
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1405.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 1072.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 1038.27
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1206.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 1072.99
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1337.52
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1355.71
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1355.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
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              "standard_charge_percentage": 76.4,
              "estimated_amount": 1263.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1044.89
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1355.71
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1076.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 917.58
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 1074.65
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1405.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 1038.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 1072.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 1072.99
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1449.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1061.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1044.89
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 909.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 1038.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 1038.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 1038.27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
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              "standard_charge_percentage": 65.1,
              "estimated_amount": 1076.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1337.52
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1653.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 917.58
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1091.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
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              "standard_charge_percentage": 63.2,
              "estimated_amount": 1044.89
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 1061.42
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 1038.27
            },
            {
              "payer_name": "OSU [553]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1206.91
            },
            {
              "payer_name": "OSU [553]",
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              "standard_charge_percentage": 73,
              "estimated_amount": 1206.91
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 909.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 1061.42
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1454.9
            }
          ]
        }
      ]
    },
    {
      "description": "LIDOCAINE 5 % TOPICAL PATCH",
      "drug_information": {
        "unit": "1",
        "type": "UN"
      },
      "code_information": [
        {
          "code": "RX-28203",
          "type": "CDM"
        },
        {
          "code": "63700001",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 8.9,
          "discounted_cash": 5.78,
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            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
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              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.62
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.71
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.71
            },
            {
              "payer_name": "EMERALD [395]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 7.57
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 5.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 5.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
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              "standard_charge_percentage": 80.9,
              "estimated_amount": 7.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.79
            },
            {
              "payer_name": "OSU [553]",
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              "standard_charge_percentage": 73,
              "estimated_amount": 6.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
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              "standard_charge_percentage": 82,
              "estimated_amount": 7.3
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
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              "standard_charge_percentage": 82.9,
              "estimated_amount": 7.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
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              "standard_charge_percentage": 82,
              "estimated_amount": 7.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 4.9
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 7.57
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 64.9,
              "estimated_amount": 5.78
            },
            {
              "payer_name": "ANTHEM [335]",
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              "standard_charge_percentage": 100,
              "estimated_amount": 8.9
            },
            {
              "payer_name": "FIRST HEALTH [408]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 7.57
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 5.59
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
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              "standard_charge_percentage": 82,
              "estimated_amount": 7.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.71
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.57
            },
            {
              "payer_name": "HEALTHREACH [540]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 4.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
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              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.71
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 5.59
            },
            {
              "payer_name": "OSU [553]",
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              "standard_charge_percentage": 73,
              "estimated_amount": 6.5
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
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              "standard_charge_percentage": 27.3,
              "estimated_amount": 2.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 5.59
            },
            {
              "payer_name": "PARAMOUNT [555]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.57
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.57
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 5.78
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4.94
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 5.87
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.57
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.57
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.8
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 7.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 5.59
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4.94
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.57
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.57
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 6.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 5.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 5.59
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 7.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.71
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 7.83
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.9
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 7.38
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.57
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 5.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 5.78
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.79
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 5.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 5.59
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 5.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 7.2
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 6.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.3
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 6.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 7.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 5.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 5.59
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4.94
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.57
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.62
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
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              "standard_charge_percentage": 82,
              "estimated_amount": 7.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 4.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 5.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.79
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.8
            }
          ]
        }
      ]
    },
    {
      "description": "RIVASTIGMINE 1.5 MG CAPSULE",
      "drug_information": {
        "unit": "1",
        "type": "UN"
      },
      "code_information": [
        {
          "code": "RX-28278",
          "type": "CDM"
        },
        {
          "code": "63700001",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 5.1,
          "discounted_cash": 3.31,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
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              "standard_charge_percentage": 82,
              "estimated_amount": 4.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
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              "standard_charge_percentage": 64.9,
              "estimated_amount": 3.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.27
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.18
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.32
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 3.31
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.18
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.22
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4.13
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.72
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.34
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 3.37
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.32
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.83
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 3.31
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.72
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.18
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.81
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.23
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 4.49
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.27
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.2
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.2
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.72
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.83
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.34
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.83
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 3.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.27
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 5.1
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.22
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.23
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4.47
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.2
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.72
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.32
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.18
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.2
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 4.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
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              "standard_charge_percentage": 64.9,
              "estimated_amount": 3.31
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
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              "standard_charge_percentage": 75,
              "estimated_amount": 3.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
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              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
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              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.9
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
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              "standard_charge_percentage": 75,
              "estimated_amount": 3.83
            },
            {
              "payer_name": "ANTHEM [335]",
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              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.83
            },
            {
              "payer_name": "HEALTHSMART [493]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 4.34
            },
            {
              "payer_name": "COFINITY [407]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 4.34
            },
            {
              "payer_name": "HEALTHREACH [540]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 2.81
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.27
            }
          ]
        }
      ]
    },
    {
      "description": "ERYTHROMYCIN ETHYLSUCCINATE 400 MG TABLET",
      "drug_information": {
        "unit": "1",
        "type": "UN"
      },
      "code_information": [
        {
          "code": "RX-2901",
          "type": "CDM"
        },
        {
          "code": "63700001",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 39.85,
          "discounted_cash": 25.9,
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              "payer_name": "MMO [485]",
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              "estimated_amount": 25.19
            },
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              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 25.58
            },
            {
              "payer_name": "AETNA [310]",
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              "estimated_amount": 25.58
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 25.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
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              "standard_charge_percentage": 64.9,
              "estimated_amount": 25.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 25.03
            },
            {
              "payer_name": "COFINITY [407]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 33.87
            },
            {
              "payer_name": "SEORMC [545]",
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              "standard_charge_percentage": 66,
              "estimated_amount": 26.3
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 25.03
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 25.03
            },
            {
              "payer_name": "MMO [485]",
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              "standard_charge_percentage": 63.2,
              "estimated_amount": 25.19
            },
            {
              "payer_name": "MMO [485]",
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              "standard_charge_percentage": 63.2,
              "estimated_amount": 25.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
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              "standard_charge_percentage": 82,
              "estimated_amount": 32.68
            },
            {
              "payer_name": "HEALTHREACH [540]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 21.92
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 25.58
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 33.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 25.03
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 25.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 25.03
            },
            {
              "payer_name": "OSU [553]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 29.09
            },
            {
              "payer_name": "PARAMOUNT [555]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 33.87
            },
            {
              "payer_name": "HEALTHLINK [443]",
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              "standard_charge_percentage": 75,
              "estimated_amount": 29.89
            },
            {
              "payer_name": "CIGNA [370]",
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              "standard_charge_percentage": 65.1,
              "estimated_amount": 25.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
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              "standard_charge_percentage": 63.2,
              "estimated_amount": 25.19
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 25.58
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 76.4,
              "estimated_amount": 30.45
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 76.4,
              "estimated_amount": 30.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
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              "standard_charge_percentage": 87.7,
              "estimated_amount": 34.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
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              "standard_charge_percentage": 63.2,
              "estimated_amount": 25.19
            },
            {
              "payer_name": "HEALTHREACH [540]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 21.92
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 25.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
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              "standard_charge_percentage": 65.1,
              "estimated_amount": 25.94
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 22.12
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 33.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 25.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 25.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 25.86
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 32.68
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 21.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 25.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 25.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 25.94
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 22.12
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 22.12
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 29.09
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 29.09
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 33.87
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 29.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 30.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 25.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 25.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 25.19
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 21.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 21.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 30.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 25.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 25.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 25.03
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 29.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 25.03
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 33.87
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 32.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 32.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 30.45
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 33.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 25.58
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 33.04
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 29.09
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 39.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 25.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 25.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 32.24
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 33.87
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 33.87
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 25.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 25.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 32.68
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 33.87
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 35.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 34.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 32.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 32.68
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 21.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 30.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 25.58
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 29.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 32.24
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 22.12
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 33.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 25.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 25.94
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 29.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 25.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 32.68
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 21.92
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 33.04
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 33.87
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 33.87
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 10.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 25.58
            }
          ]
        }
      ]
    },
    {
      "description": "BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION",
      "drug_information": {
        "unit": "5",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-29396",
          "type": "CDM"
        },
        {
          "code": "J0583",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 304.8,
          "discounted_cash": 198.12,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 192.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 249.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 195.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 195.68
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 304.8,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 304.8,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 304.8,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 115,
              "estimated_amount": 115
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 246.58
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 222.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 222.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 222.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 259.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 115,
              "estimated_amount": 115
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 198.42
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 228.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 192.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 249.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 195.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 195.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 195.68
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 304.8,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 192.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 232.87
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 304.8,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 146.25,
              "estimated_amount": 146.25
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 259.08
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 83.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 115,
              "estimated_amount": 115
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 115,
              "estimated_amount": 115
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 198.42
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 222.5
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 198.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 192.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 249.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 195.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 232.87
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 304.8,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 304.8,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 167.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 195.68
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 304.8,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 304.8,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 146.25,
              "estimated_amount": 146.25
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 304.8,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 228.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 115,
              "estimated_amount": 115
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 115,
              "estimated_amount": 115
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 115,
              "estimated_amount": 115
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 198.42
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 198.42
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 304.8,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 201.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 192.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 249.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 232.87
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 252.68
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 304.8,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 192.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 115,
              "estimated_amount": 115
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 115,
              "estimated_amount": 115
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 259.08
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 259.08
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 259.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 115,
              "estimated_amount": 115
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 115,
              "estimated_amount": 115
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 198.42
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 259.08
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 304.8,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 267.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 232.87
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 304.8,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 252.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 249.94
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 304.8,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 115,
              "estimated_amount": 115
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 115,
              "estimated_amount": 115
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 146.25,
              "estimated_amount": 146.25
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 304.8,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 267.31
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 167.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 232.87
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 304.8,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 259.08
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 167.64
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 252.68
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 304.8,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 304.8,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 259.08
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 259.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 115,
              "estimated_amount": 115
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 115,
              "estimated_amount": 115
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 146.25,
              "estimated_amount": 146.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 192.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 249.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 195.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 195.68
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 304.8,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 304.8,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 268.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 232.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 195.68
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 222.5
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 259.08
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 259.08
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 304.8,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 304.8,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 167.64
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 167.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 195.68
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 304.8,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 304.8,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 259.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 115,
              "estimated_amount": 115
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 246.58
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 146.25,
              "estimated_amount": 146.25
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 259.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 192.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 249.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 249.94
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 167.64
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 167.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 195.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 115,
              "estimated_amount": 115
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 222.5
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 259.08
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 228.6
            }
          ],
          "minimum": 115,
          "maximum": 146.25
        }
      ]
    },
    {
      "description": "CASPOFUNGIN 50 MG INTRAVENOUS SOLUTION",
      "drug_information": {
        "unit": "10",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-29567",
          "type": "CDM"
        },
        {
          "code": "J0637",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 207.25,
          "discounted_cash": 134.71,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 130.98
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 169.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 158.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 158.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 171.3,
              "estimated_amount": 171.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 167.67
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 155.44
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 151.29
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 113.99
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 171.81
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 155.44
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 176.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 169.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 169.95
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 171.81
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 151.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 171.3,
              "estimated_amount": 171.3
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 176.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 130.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 130.98
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 169.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 113.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 133.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 133.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 130.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 158.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 133.05
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 182.38
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 167.67
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 155.14,
              "estimated_amount": 155.14
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 176.16
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 176.16
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 151.29
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 176.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 113.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 158.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 133.05
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 176.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 171.3,
              "estimated_amount": 171.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 171.3,
              "estimated_amount": 171.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 155.14,
              "estimated_amount": 155.14
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 176.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 171.3,
              "estimated_amount": 171.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 171.3,
              "estimated_amount": 171.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 134.92
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 136.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 181.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 133.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 169.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 169.95
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 171.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 134.92
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 151.29
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 151.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 171.3,
              "estimated_amount": 171.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 181.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 130.98
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 176.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 113.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 133.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 158.34
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 176.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 171.3,
              "estimated_amount": 171.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 171.3,
              "estimated_amount": 171.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 171.3,
              "estimated_amount": 171.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 134.92
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 134.92
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 151.29
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 176.16
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 56.58
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 176.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 130.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 133.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 158.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 133.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 171.3,
              "estimated_amount": 171.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 171.3,
              "estimated_amount": 171.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 171.3,
              "estimated_amount": 171.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 171.3,
              "estimated_amount": 171.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 171.3,
              "estimated_amount": 171.3
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 176.16
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 134.71
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 155.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 130.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 133.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 169.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 113.99
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 113.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 133.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 171.3,
              "estimated_amount": 171.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 155.14,
              "estimated_amount": 155.14
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 155.14,
              "estimated_amount": 155.14
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 155.14,
              "estimated_amount": 155.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 169.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 113.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 133.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 133.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 171.3,
              "estimated_amount": 171.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 134.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 130.98
            }
          ],
          "minimum": 155.14,
          "maximum": 171.3
        }
      ]
    },
    {
      "description": "FERRIC SUBSULFATE (BULK) 20 TO 22 GRAM/100 ML SOLUTION",
      "drug_information": {
        "unit": "100",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-3059",
          "type": "CDM"
        },
        {
          "code": "25000049",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 68.95,
          "discounted_cash": 44.82,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 43.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 43.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 56.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 44.27
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 57.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 43.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 44.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 60.47
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 56.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 44.27
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 56.54
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 37.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 37.92
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 51.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 44.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 55.78
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 58.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 44.75
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 45.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 56.54
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 37.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 37.92
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 58.61
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 60.68
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 44.27
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 57.16
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 50.33
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 55.78
            },
            {
              "payer_name": "ANTHEM [335]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 38.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
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              "standard_charge_percentage": 63.2,
              "estimated_amount": 43.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 56.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 52.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
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              "standard_charge_percentage": 82,
              "estimated_amount": 56.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 56.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 52.68
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 58.61
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 50.33
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 50.33
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 38.27
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 58.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 43.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 44.89
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 58.61
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 44.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 44.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 60.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 52.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 52.68
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 57.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 43.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 44.89
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 51.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 43.3
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 50.33
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 50.33
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 58.61
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 58.61
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 58.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 43.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 52.68
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 58.61
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 37.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 52.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 44.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 44.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 44.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 43.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 44.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 43.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 43.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 44.75
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 58.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 43.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 56.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 44.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 44.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 43.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 43.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 44.89
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 68.95
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 51.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 43.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 43.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 43.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 44.89
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 58.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 43.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 43.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 43.3
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 50.33
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 38.27
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 18.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 43.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 44.27
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 58.61
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 38.27
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 37.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 37.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 44.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 44.27
            }
          ]
        }
      ]
    },
    {
      "description": "ATOMOXETINE 18 MG CAPSULE",
      "drug_information": {
        "unit": "1",
        "type": "UN"
      },
      "code_information": [
        {
          "code": "RX-34445",
          "type": "CDM"
        },
        {
          "code": "63700001",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 8.15,
          "discounted_cash": 5.3,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 7.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6.68
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 4.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 6.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 5.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
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              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.31
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5.95
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 6.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.15
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 5.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.31
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 5.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.31
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5.95
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 5.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 5.29
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.93
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4.52
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.93
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 6.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 6.76
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 6.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 6.59
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 8.15
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 5.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.23
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 7.17
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6.68
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 5.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 5.12
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.93
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 5.12
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5.95
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 2.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6.68
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 5.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 5.12
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 5.12
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 5.38
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.48
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 7.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 5.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 6.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.31
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.93
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 6.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 5.29
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6.68
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6.68
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 5.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 5.29
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4.52
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4.52
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.93
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 5.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 5.12
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.93
            }
          ]
        }
      ]
    },
    {
      "description": "HALOPERIDOL LACTATE 2 MG/ML ORAL CONCENTRATE",
      "drug_information": {
        "unit": "0.25",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-3585",
          "type": "CDM"
        },
        {
          "code": "63700001",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 5.15,
          "discounted_cash": 3.35,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
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              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.25
            },
            {
              "payer_name": "AETNA [310]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
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              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 3.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.22
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.83
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.31
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.27
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.23
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4.52
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.22
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 3.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.35
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.76
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.31
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.86
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.22
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.31
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.35
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.76
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.38
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.76
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.93
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.35
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 5.15
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.86
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.38
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1.41
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.86
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 3.35
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.38
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.38
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.25
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4.17
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.86
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.86
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.38
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 3.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.23
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 3.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 3.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4.17
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.23
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4.52
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.22
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.31
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.27
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.38
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 4.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.35
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.86
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.31
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.93
            }
          ]
        }
      ]
    },
    {
      "description": "POTASSIUM CHLORIDE 20 MEQ/L IN 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLN",
      "drug_information": {
        "unit": "1000",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-36046",
          "type": "CDM"
        },
        {
          "code": "J3480",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 71.35,
          "discounted_cash": 46.38,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 45.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 45.81
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 71.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 71.35,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 62.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3,
              "estimated_amount": 3
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 71.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 47.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3,
              "estimated_amount": 3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 57.72
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 71.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 60.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 45.09
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 58.51
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 39.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 45.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 45.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 45.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 45.81
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 71.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2.57,
              "estimated_amount": 2.57
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 53.51
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 60.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3,
              "estimated_amount": 3
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 60.65
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 39.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 45.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 45.09
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 39.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 45.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 45.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 54.51
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 71.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 71.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 60.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3,
              "estimated_amount": 3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 46.45
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 60.65
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 19.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3,
              "estimated_amount": 3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3,
              "estimated_amount": 3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3,
              "estimated_amount": 3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2.57,
              "estimated_amount": 2.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 54.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 54.51
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 71.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 62.57
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 45.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 45.09
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 58.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 45.81
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 59.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 46.45
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 52.09
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 71.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 60.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3,
              "estimated_amount": 3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2.57,
              "estimated_amount": 2.57
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2.57,
              "estimated_amount": 2.57
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 60.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 53.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 58.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 45.81
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 71.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 60.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 58.51
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 59.15
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 71.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 71.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3,
              "estimated_amount": 3
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 52.09
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2.57,
              "estimated_amount": 2.57
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 60.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3,
              "estimated_amount": 3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 46.45
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 52.09
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 60.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 58.51
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 71.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 60.65
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 39.24
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 71.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 71.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 71.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 46.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 46.45
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 52.09
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 71.35,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 62.57
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 45.09
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 58.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 45.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 54.51
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 59.15
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 71.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 71.35,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 71.35,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 53.51
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1.6,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 54.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 45.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 54.51
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 71.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3,
              "estimated_amount": 3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3,
              "estimated_amount": 3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3,
              "estimated_amount": 3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3,
              "estimated_amount": 3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3,
              "estimated_amount": 3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 45.09
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 71.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 71.35,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3,
              "estimated_amount": 3
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 52.09
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 60.65
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 46.38
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 60.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3,
              "estimated_amount": 3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 45.09
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 58.51
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 39.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 39.24
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 57.72
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 52.09
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 71.35,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 58.51
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 39.24
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 71.35,
              "additional_payer_notes": "OPPS APC"
            }
          ],
          "minimum": 1.6,
          "maximum": 3
        }
      ]
    },
    {
      "description": "CARBIDOPA 37.5 MG-LEVODOPA 150 MG-ENTACAPONE 200 MG TABLET",
      "drug_information": {
        "unit": "1",
        "type": "UN"
      },
      "code_information": [
        {
          "code": "RX-36137",
          "type": "CDM"
        },
        {
          "code": "63700001",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 7.5,
          "discounted_cash": 4.87,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 5.73
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4.16
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.38
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.38
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 4.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 4.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 6.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.74
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 4.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 4.71
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 4.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 4.71
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.74
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.82
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 4.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 4.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 4.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 4.87
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4.88
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 2.05
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 5.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.82
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 6.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.82
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4.16
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.38
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 6.07
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 6.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.13
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 6.22
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 4.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 4.87
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5.48
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5.48
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 5.63
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.38
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 5.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 5.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 5.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.82
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 4.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 4.71
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 6.07
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 4.71
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5.48
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.13
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.74
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.82
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.38
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4.88
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 7.5
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 6.6
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6.15
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 5.63
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5.48
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 4.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 4.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 4.71
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4.88
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 5.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 5.73
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 6.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 4.71
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.38
            }
          ]
        }
      ]
    },
    {
      "description": "PHENYLEPHRINE 0.125 % NASAL DROPS",
      "drug_information": {
        "unit": "15",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-36952",
          "type": "CDM"
        },
        {
          "code": "25000049",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
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              "payer_name": "MMO [485]",
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            },
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              "payer_name": "MMO [485]",
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              "payer_name": "AETNA [310]",
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            },
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            {
              "payer_name": "UHC [625]",
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            {
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            },
            {
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            },
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              "payer_name": "ANTHEM [335]",
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              "standard_charge_percentage": 100,
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            },
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            },
            {
              "payer_name": "PARAMOUNT [555]",
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            {
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              "payer_name": "HEALTHREACH [540]",
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            },
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              "payer_name": "GREATWEST [550]",
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            },
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            },
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              "payer_name": "UHC [625]",
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            },
            {
              "payer_name": "UHC [625]",
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            },
            {
              "payer_name": "OSU [553]",
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            },
            {
              "payer_name": "CIGNA [370]",
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              "standard_charge_percentage": 65.1,
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            },
            {
              "payer_name": "CIGNA [370]",
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            },
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              "payer_name": "OSU [553]",
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              "standard_charge_percentage": 73,
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            },
            {
              "payer_name": "MMO [485]",
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              "estimated_amount": 9.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
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              "standard_charge_percentage": 63.2,
              "estimated_amount": 9.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
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            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.18
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
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              "standard_charge_percentage": 75,
              "estimated_amount": 10.73
            },
            {
              "payer_name": "MMO [485]",
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            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
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              "estimated_amount": 11.73
            },
            {
              "payer_name": "AETNA [310]",
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              "payer_name": "AETNA [310]",
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            },
            {
              "payer_name": "AETNA [310]",
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            },
            {
              "payer_name": "GREATWEST [550]",
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              "payer_name": "OSU [553]",
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            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
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            },
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              "payer_name": "HEALTHSMART [493]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 12.16
            },
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              "payer_name": "HEALTHSMART [493]",
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              "standard_charge_percentage": 85,
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            },
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              "payer_name": "UHC [625]",
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            },
            {
              "payer_name": "UHC [625]",
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            },
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              "payer_name": "CIGNA [370]",
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            },
            {
              "payer_name": "CIGNA [370]",
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              "estimated_amount": 11.57
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              "payer_name": "OHIO HEALTH CHOICE [535]",
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              "payer_name": "HEALTHREACH [540]",
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              "estimated_amount": 7.87
            },
            {
              "payer_name": "AETNA [310]",
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              "estimated_amount": 9.18
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              "payer_name": "AETNA [310]",
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              "estimated_amount": 9.18
            },
            {
              "payer_name": "EMERALD [395]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 12.16
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 76.4,
              "estimated_amount": 10.93
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.18
            },
            {
              "payer_name": "UHC [625]",
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              "estimated_amount": 8.98
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 8.98
            },
            {
              "payer_name": "ANTHEM [335]",
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              "standard_charge_percentage": 55.5,
              "estimated_amount": 7.94
            },
            {
              "payer_name": "PARAMOUNT [555]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 12.16
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
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              "standard_charge_percentage": 55.5,
              "estimated_amount": 7.94
            },
            {
              "payer_name": "SEORMC [545]",
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              "standard_charge_percentage": 66,
              "estimated_amount": 9.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.18
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.18
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.18
            },
            {
              "payer_name": "FLORA [411]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 12.16
            },
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              "payer_name": "OHIO HEALTH CHOICE [535]",
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              "standard_charge_percentage": 82,
              "estimated_amount": 11.73
            },
            {
              "payer_name": "OSU [553]",
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              "standard_charge_percentage": 73,
              "estimated_amount": 10.44
            },
            {
              "payer_name": "COFINITY [407]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 12.16
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 8.98
            },
            {
              "payer_name": "COVENTRY [406]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 12.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
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              "standard_charge_percentage": 63.2,
              "estimated_amount": 9.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 7.87
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 76.4,
              "estimated_amount": 10.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
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              "standard_charge_percentage": 87.7,
              "estimated_amount": 12.54
            },
            {
              "payer_name": "MMO [485]",
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              "standard_charge_percentage": 63.2,
              "estimated_amount": 9.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
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              "standard_charge_percentage": 82,
              "estimated_amount": 11.73
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
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              "standard_charge_percentage": 82,
              "estimated_amount": 11.73
            },
            {
              "payer_name": "HEALTHREACH [540]",
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              "estimated_amount": 7.87
            },
            {
              "payer_name": "GREATWEST [550]",
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              "standard_charge_percentage": 82.9,
              "estimated_amount": 11.85
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 8.98
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 8.98
            },
            {
              "payer_name": "HUMANA [465]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 9.3
            },
            {
              "payer_name": "MMO [485]",
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              "standard_charge_percentage": 87.7,
              "estimated_amount": 12.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
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              "standard_charge_percentage": 82,
              "estimated_amount": 11.73
            },
            {
              "payer_name": "HEALTHREACH [540]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 7.87
            },
            {
              "payer_name": "AETNA [310]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.18
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12.16
            },
            {
              "payer_name": "CIGNA [370]",
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              "standard_charge_percentage": 65.1,
              "estimated_amount": 9.31
            },
            {
              "payer_name": "ANTHEM [335]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 7.94
            },
            {
              "payer_name": "PARAMOUNT [555]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12.16
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
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              "standard_charge_percentage": 75,
              "estimated_amount": 10.73
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 7.87
            },
            {
              "payer_name": "AETNA [310]",
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            {
              "payer_name": "UHC [625]",
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              "estimated_amount": 8.98
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 8.98
            },
            {
              "payer_name": "UHC [625]",
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              "estimated_amount": 9.28
            },
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              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 8.98
            },
            {
              "payer_name": "CIGNA [370]",
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              "standard_charge_percentage": 65.1,
              "estimated_amount": 9.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 9.31
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 10.44
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 10.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 11.73
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 12.58
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 7.94
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 11.73
            }
          ]
        }
      ]
    },
    {
      "description": "MEMANTINE 10 MG TABLET",
      "drug_information": {
        "unit": "1",
        "type": "UN"
      },
      "code_information": [
        {
          "code": "RX-36966",
          "type": "CDM"
        },
        {
          "code": "63700001",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 5.5,
          "discounted_cash": 3.57,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
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              "standard_charge_percentage": 64.9,
              "estimated_amount": 3.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 5.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.48
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.51
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.48
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 3.57
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
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              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
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              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
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              "standard_charge_percentage": 80.9,
              "estimated_amount": 4.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.05
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 3.57
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.05
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.68
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.2
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.53
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.02
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.45
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 3.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.53
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.45
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.02
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.68
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.48
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.2
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.68
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.68
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.02
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.02
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.51
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.53
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 4.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.51
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 3.57
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.02
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.02
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4.13
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.05
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.45
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.53
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.56
            }
          ]
        }
      ]
    },
    {
      "description": "HYDRALAZINE 25 MG TABLET",
      "drug_information": {
        "unit": "1",
        "type": "UN"
      },
      "code_information": [
        {
          "code": "RX-3700",
          "type": "CDM"
        },
        {
          "code": "63700001",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 5,
          "discounted_cash": 3.25,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.21
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.14
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.16
            },
            {
              "payer_name": "AETNA [310]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 3.25
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.75
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.14
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 64.9,
              "estimated_amount": 3.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.14
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.65
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
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              "standard_charge_percentage": 73,
              "estimated_amount": 3.65
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.1
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
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              "standard_charge_percentage": 87.7,
              "estimated_amount": 4.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
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              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
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              "standard_charge_percentage": 82,
              "estimated_amount": 4.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.21
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.21
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.14
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
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              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.78
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.78
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.21
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 3.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.26
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.26
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.78
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.82
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.15
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.82
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 3.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.14
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.21
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.82
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4.05
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.65
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.1
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.14
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.14
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.65
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1.37
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 3.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.26
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 3.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.21
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 4.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4.39
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.75
            }
          ]
        }
      ]
    },
    {
      "description": "HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY",
      "drug_information": {
        "unit": "1",
        "type": "UN"
      },
      "code_information": [
        {
          "code": "RX-3738",
          "type": "CDM"
        },
        {
          "code": "63700001",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 8.75,
          "discounted_cash": 5.69,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.53
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 5.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 5.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.44
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.53
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.69
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 5.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 7.08
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.39
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 6.56
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.53
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.62
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 6.56
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 5.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.7
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 5.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.53
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 5.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.39
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 8.75
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.44
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 5.69
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 5.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 5.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 7.67
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.81
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.62
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 7.25
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 7.08
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.39
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 5.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.39
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 7.67
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.18
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.62
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 7.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.62
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 7.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 5.5
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 6.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 5.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.7
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.53
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.18
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 7.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.53
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.69
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.44
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 5.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 5.68
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.39
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 5.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 5.68
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.39
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 5.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
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              "standard_charge_percentage": 64.9,
              "estimated_amount": 5.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.69
            },
            {
              "payer_name": "AETNA [310]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 5.5
            },
            {
              "payer_name": "ANTHEM [335]",
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              "standard_charge_percentage": 55.5,
              "estimated_amount": 4.86
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
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              "standard_charge_percentage": 27.3,
              "estimated_amount": 2.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.62
            }
          ]
        }
      ]
    },
    {
      "description": "HYDROXYZINE HCL 25 MG TABLET",
      "drug_information": {
        "unit": "1",
        "type": "UN"
      },
      "code_information": [
        {
          "code": "RX-3774",
          "type": "CDM"
        },
        {
          "code": "63700001",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 5.1,
          "discounted_cash": 3.31,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
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              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.22
            },
            {
              "payer_name": "MMO [485]",
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              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
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              "standard_charge_percentage": 82,
              "estimated_amount": 4.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
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              "standard_charge_percentage": 82,
              "estimated_amount": 4.18
            },
            {
              "payer_name": "OSU [553]",
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              "standard_charge_percentage": 73,
              "estimated_amount": 3.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.2
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 4.34
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 2.81
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 4.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
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              "standard_charge_percentage": 82,
              "estimated_amount": 4.18
            },
            {
              "payer_name": "HEALTHREACH [540]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 2.81
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
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              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.32
            },
            {
              "payer_name": "ANTHEM [335]",
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              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.83
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
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              "standard_charge_percentage": 27.3,
              "estimated_amount": 1.39
            },
            {
              "payer_name": "COFINITY [407]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 4.34
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 64.9,
              "estimated_amount": 3.31
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
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              "standard_charge_percentage": 73,
              "estimated_amount": 3.72
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 5.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
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              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.22
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.81
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.27
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
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              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
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              "standard_charge_percentage": 82,
              "estimated_amount": 4.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
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              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.27
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
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              "standard_charge_percentage": 88,
              "estimated_amount": 4.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.9
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.23
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.32
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.72
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 3.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.2
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.9
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.34
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.83
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 3.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4.13
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.34
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.27
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.18
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.27
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.72
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.34
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.32
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.72
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.72
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.34
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.83
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.27
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4.47
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.18
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.34
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 3.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.27
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4.13
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 3.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 3.31
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.22
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.81
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.83
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.18
            }
          ]
        }
      ]
    },
    {
      "description": "LOPERAMIDE 1 MG/7.5 ML ORAL LIQUID",
      "drug_information": {
        "unit": "7.5",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-42219",
          "type": "CDM"
        },
        {
          "code": "63700001",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2.05,
          "discounted_cash": 1.33,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.68
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.13
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.32
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 1.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 1.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 1.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.33
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 1.29
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.74
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.68
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.13
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.5
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 1.29
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.74
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.68
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.57
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 1.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 1.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 1.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 1.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 1.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 1.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 1.29
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.32
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.33
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.74
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.74
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.14
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 1.33
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.3
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2.05
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.33
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.32
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.74
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.32
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 1.33
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.33
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.32
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.74
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 1.33
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 1.29
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.14
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 1.29
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 1.33
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1.66
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.74
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.74
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.57
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.32
            }
          ]
        }
      ]
    },
    {
      "description": "NITROGLYCERIN 100 MCG/ML 10ML SYRINGE (CMP PMX)",
      "drug_information": {
        "unit": "1",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-441075",
          "type": "CDM"
        },
        {
          "code": "J2305",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 35.95,
          "discounted_cash": 23.37,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 22.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3.63,
              "estimated_amount": 3.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3.63,
              "estimated_amount": 3.63
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 26.24
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3.37,
              "estimated_amount": 3.37
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 27.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 22.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 27.47
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 26.24
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3.37,
              "estimated_amount": 3.37
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 23.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 22.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 22.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 29.48
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 29.48
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 22.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 29.48
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 29.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.08
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 35.95,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 26.96
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 35.95,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 23.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 23.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 29.08
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.56
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 26.96
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 31.53
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 27.47
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 35.95,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 23.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3.63,
              "estimated_amount": 3.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3.63,
              "estimated_amount": 3.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3.63,
              "estimated_amount": 3.63
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 23.4
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 26.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 31.53
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 35.95,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 22.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 29.48
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3.63,
              "estimated_amount": 3.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3.63,
              "estimated_amount": 3.63
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 29.08
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3.37,
              "estimated_amount": 3.37
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.56
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3.63,
              "estimated_amount": 3.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3.63,
              "estimated_amount": 3.63
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 26.24
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 26.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 29.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.08
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.56
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.56
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19.77
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19.77
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3.37,
              "estimated_amount": 3.37
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 26.24
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.08
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 29.8
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 29.8
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.56
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 26.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.08
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 35.95,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3.63,
              "estimated_amount": 3.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3.63,
              "estimated_amount": 3.63
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 23.73
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 27.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 22.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 29.48
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 29.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3.63,
              "estimated_amount": 3.63
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3.37,
              "estimated_amount": 3.37
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.56
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.56
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 23.37
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 35.95,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3.63,
              "estimated_amount": 3.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3.63,
              "estimated_amount": 3.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3.63,
              "estimated_amount": 3.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3.63,
              "estimated_amount": 3.63
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 9.81
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.56
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 29.48
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 27.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 27.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3.63,
              "estimated_amount": 3.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 22.72
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 31.64
            }
          ],
          "minimum": 3.37,
          "maximum": 3.63
        }
      ]
    },
    {
      "description": "CLINDAMYCIN 600 MG/250 ML IN NS IRRIGATION (CMP PMX)",
      "drug_information": {
        "unit": "250",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-441118",
          "type": "CDM"
        },
        {
          "code": "25000049",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 72.2,
          "discounted_cash": 46.93,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 45.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 45.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 45.34
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 52.71
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 61.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 45.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 58.41
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 46.93
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 59.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 39.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 45.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 63.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 59.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 45.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 47
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 40.07
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 61.37
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 47
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 52.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 45.63
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 39.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 46.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 46.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 55.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 46.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 55.16
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 61.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 46.86
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 47
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 61.37
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 58.41
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 52.71
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 59.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 46.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 59.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 59.85
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 61.37
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 61.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 45.34
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 61.37
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 47.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 45.34
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 52.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 45.63
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 39.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 46.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 46.35
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 61.37
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 39.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 55.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 45.34
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 52.71
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 40.07
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 61.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 45.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 46.86
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 54.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 45.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 45.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 46.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 45.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 46.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 55.16
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 59.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 45.34
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 61.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 45.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 45.34
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 19.71
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 61.37
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 59.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 59.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 39.71
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 39.71
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 54.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 63.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 46.35
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 59.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 45.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 45.34
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 72.2
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 54.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 46.86
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 61.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 46.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 46.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 46.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 59.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 55.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 46.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 45.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 47
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 52.71
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 47
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 40.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 55.16
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 40.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 59.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 39.71
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 63.54
            }
          ]
        }
      ]
    },
    {
      "description": "LISINOPRIL 20 MG TABLET",
      "drug_information": {
        "unit": "1",
        "type": "UN"
      },
      "code_information": [
        {
          "code": "RX-4526",
          "type": "CDM"
        },
        {
          "code": "63700001",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 4.8,
          "discounted_cash": 3.12,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.64
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.67
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.12
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 3.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4.21
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 3.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.12
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.5
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.64
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.67
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.12
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.66
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.6
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 3.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.94
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.64
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.08
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.12
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.67
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.94
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 3.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 3.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.66
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.08
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.08
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 4.22
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.66
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.66
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 3.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3.88
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.67
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3.98
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.08
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.64
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.08
            }
          ]
        }
      ]
    },
    {
      "description": "LORAZEPAM 1 MG TABLET",
      "drug_information": {
        "unit": "1",
        "type": "UN"
      },
      "code_information": [
        {
          "code": "RX-4573",
          "type": "CDM"
        },
        {
          "code": "63700001",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 8.55,
          "discounted_cash": 5.56,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.01
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 5.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.57
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 5.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 5.37
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 6.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.49
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 7.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 5.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 5.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 5.37
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.53
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 5.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 5.37
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.24
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.24
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.27
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 5.56
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.27
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.01
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.49
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.57
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 8.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.53
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 7.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 5.37
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.57
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.24
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.24
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 2.33
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 5.55
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.27
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 6.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 5.37
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.24
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 6.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 5.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 5.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 5.37
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.49
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.27
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 6.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 6.92
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.24
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 5.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 5.37
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.01
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 7.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 7.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 5.37
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.57
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.57
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.27
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 5.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.49
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.27
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.27
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 7.09
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 7.09
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.27
            }
          ]
        }
      ]
    },
    {
      "description": "POLYSACCHARIDE IRON COMPLEX 150 MG IRON CAP SORD",
      "drug_information": {
        "unit": "1",
        "type": "UN"
      },
      "code_information": [
        {
          "code": "RX-461019",
          "type": "CDM"
        },
        {
          "code": "63700001",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 4.9,
          "discounted_cash": 3.18,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
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              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 2.7
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.74
            },
            {
              "payer_name": "EMERALD [395]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 4.17
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
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              "standard_charge_percentage": 64.9,
              "estimated_amount": 3.18
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.19
            },
            {
              "payer_name": "PARAMOUNT [555]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 4.17
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
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              "standard_charge_percentage": 65,
              "estimated_amount": 3.19
            },
            {
              "payer_name": "UHC [625]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.08
            },
            {
              "payer_name": "PARAMOUNT [555]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 4.17
            },
            {
              "payer_name": "HEALTHREACH [540]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 2.7
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.74
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 4.17
            },
            {
              "payer_name": "MMO [485]",
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              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.1
            },
            {
              "payer_name": "MMO [485]",
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              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.19
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.72
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 4.17
            },
            {
              "payer_name": "HEALTHREACH [540]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 2.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.15
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.17
            },
            {
              "payer_name": "MMO [485]",
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              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
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              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
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              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.08
            },
            {
              "payer_name": "UHC [625]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 3.18
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
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              "standard_charge_percentage": 100,
              "estimated_amount": 4.9
            },
            {
              "payer_name": "COFINITY [407]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 4.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
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              "standard_charge_percentage": 64.9,
              "estimated_amount": 3.18
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.08
            },
            {
              "payer_name": "CIGNA [370]",
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              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.19
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 4.17
            },
            {
              "payer_name": "HEALTHREACH [540]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
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              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.74
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.06
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
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              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.08
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.72
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 3.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.08
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.72
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.15
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.17
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 4.31
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.17
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.02
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.7
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3.96
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 4.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
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              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.74
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.08
            },
            {
              "payer_name": "OSU [553]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 3.18
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.08
            },
            {
              "payer_name": "ANTHEM [335]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.72
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.68
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.15
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.68
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.17
            }
          ]
        }
      ]
    },
    {
      "description": "NEOSTIGMINE METHYLSULFATE 1 MG/ML INJECTION SOLUTION SORD",
      "drug_information": {
        "unit": "10",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-461039",
          "type": "CDM"
        },
        {
          "code": "J2710",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 42.2,
          "discounted_cash": 27.43,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 26.67
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 34.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 32.24
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 42.2,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 27.47
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 34.14
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 37.44,
              "estimated_amount": 37.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 27.47
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 35.87
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 42.2,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 32.24
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 42.2,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 42.2,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 42.2,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 26.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 27.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 27.09
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 42.2,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 42.2,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 30.81
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 42.2,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 98.2,
              "estimated_amount": 98.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 98.2,
              "estimated_amount": 98.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 32.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 27.09
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 35.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 26.67
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 34.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 34.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 23.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 32.24
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 42.2,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 98.2,
              "estimated_amount": 98.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 98.2,
              "estimated_amount": 98.2
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 30.81
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 30.81
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 30.81
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 37.44,
              "estimated_amount": 37.44
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 35.87
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 31.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 98.2,
              "estimated_amount": 98.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 98.2,
              "estimated_amount": 98.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 98.2,
              "estimated_amount": 98.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 34.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 27.47
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 30.81
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 35.87
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 35.87
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 34.6
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 42.2,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 42.2,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 34.98
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 42.2,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 27.47
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 35.87
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 35.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 37.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 26.67
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 34.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 34.6
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 42.2,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 34.98
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 42.2,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 35.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 98.2,
              "estimated_amount": 98.2
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 30.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 98.2,
              "estimated_amount": 98.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 98.2,
              "estimated_amount": 98.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 37.44,
              "estimated_amount": 37.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 23.21
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 42.2,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 23.21
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 23.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 27.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 27.09
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 42.2,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 37.14
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 35.87
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 35.87
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 37.44,
              "estimated_amount": 37.44
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 35.87
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 42.2,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 37.44,
              "estimated_amount": 37.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 27.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 37.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 27.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 32.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 27.09
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 42.2,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 98.2,
              "estimated_amount": 98.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 98.2,
              "estimated_amount": 98.2
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 27.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 35.87
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 11.52
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 35.87
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 34.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 23.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 27.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 27.09
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 42.2,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 42.2,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 31.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 26.67
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 34.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 23.21
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 42.2,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 34.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 98.2,
              "estimated_amount": 98.2
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 27.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 98.2,
              "estimated_amount": 98.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 27.47
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 42.2,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 35.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 26.67
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 26.67
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 23.21
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 42.2,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 42.2,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 98.2,
              "estimated_amount": 98.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 98.2,
              "estimated_amount": 98.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 98.2,
              "estimated_amount": 98.2
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 31.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 26.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 27.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 32.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 27.09
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 42.2,
              "additional_payer_notes": "OPPS APC"
            }
          ],
          "minimum": 37.44,
          "maximum": 98.2
        }
      ]
    },
    {
      "description": "HYDROMORPHONE 0.5 MG/0.5 ML INJECTION SORD",
      "drug_information": {
        "unit": ".5",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-461048",
          "type": "CDM"
        },
        {
          "code": "J1171",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 48.4,
          "discounted_cash": 31.46,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 30.59
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 39.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 31.07
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 40.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1.2,
              "estimated_amount": 1.2
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 35.33
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 41.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 39.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 31.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 31.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 30.59
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 39.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 36.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 36.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1.2,
              "estimated_amount": 1.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 39.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 31.51
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 48.4,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 48.4,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 41.14
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 48.4,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1.2,
              "estimated_amount": 1.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1.2,
              "estimated_amount": 1.2
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 41.14
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 36.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 39.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 31.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 31.07
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 48.4,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 36.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 36.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1.2,
              "estimated_amount": 1.2
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 41.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 42.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 26.62
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 26.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 31.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 36.98
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 26.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 31.07
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 42.59
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 41.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 31.51
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 35.33
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 36.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1.2,
              "estimated_amount": 1.2
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 35.33
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 35.33
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 35.33
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 48.4,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 30.59
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 26.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 31.07
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 41.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 31.07
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 41.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1.2,
              "estimated_amount": 1.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1.2,
              "estimated_amount": 1.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 31.51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 31.51
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 41.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 42.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 30.59
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 26.62
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 39.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1.2,
              "estimated_amount": 1.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1.2,
              "estimated_amount": 1.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 31.51
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 41.14
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 41.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1.2,
              "estimated_amount": 1.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1.2,
              "estimated_amount": 1.2
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 41.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 30.59
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 39.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 31.07
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 41.14
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 26.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 31.07
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 40.12
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 48.4,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 48.4,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1.2,
              "estimated_amount": 1.2
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 35.33
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 31.46
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 31.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 30.59
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 26.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 30.59
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 39.69
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 48.4,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1.2,
              "estimated_amount": 1.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 48.4,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 48.4,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 48.4,
              "additional_payer_notes": "SRD"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1.2,
              "estimated_amount": 1.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1.2,
              "estimated_amount": 1.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 39.16
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 13.21
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 39.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 31.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 36.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1.2,
              "estimated_amount": 1.2
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 41.14
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 41.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 30.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 36.98
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 40.12
            }
          ],
          "minimum": 1.2,
          "maximum": 1.2
        }
      ]
    },
    {
      "description": "ROCURONIUM 10 MG/ML INTRAVENOUS INJECTION (SORD)",
      "drug_information": {
        "unit": "1",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-461076",
          "type": "CDM"
        },
        {
          "code": "25000049",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 40.5,
          "discounted_cash": 26.32,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 25.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 25.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 22.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 22.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 30.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 40.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 34.43
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 34.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 25.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 22.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 33.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 40.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 26.37
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 11.06
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 30.38
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 26.33
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 34.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 40.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 29.57
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 33.21
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 33.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 35.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 30.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 40.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 29.57
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 40.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 34.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 40.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 32.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 32.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 25.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 40.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 35.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 40.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 26.37
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 29.57
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 29.57
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 22.48
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 22.48
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 34.43
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 34.43
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 33.21
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 33.21
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 22.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 26
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 40.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 33.57
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 40.5,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 34.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 26
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 33.57
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 30.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 40.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 40.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 40.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 30.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 35.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 30.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 26
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 40.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 34.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 30.94
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 40.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 40.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 26.37
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 26.37
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 34.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 40.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 40.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 40.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 26.37
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 22.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 33.21
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 34.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 40.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 40.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 40.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 22.48
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 34.43
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 33.21
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 22.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 25.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 40.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 40.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 29.57
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 29.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 40.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 22.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 25.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 22.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 26
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 34.43
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 40.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 26.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 25.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 25.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 33.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 30.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 30.94
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 33.57
            }
          ]
        }
      ]
    },
    {
      "description": "DEXAMETHASONE SODIUM PHOSPHATE (PF) 10 MG/ML INJECTION SORD",
      "drug_information": {
        "unit": "0.5",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-461080",
          "type": "CDM"
        },
        {
          "code": "J1100",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 35.85,
          "discounted_cash": 23.3,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 31.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 22.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 31.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 27.39
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 35.85,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1.5,
              "estimated_amount": 1.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1.5,
              "estimated_amount": 1.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1.4,
              "estimated_amount": 1.4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.47
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.47
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.47
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 35.85,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 35.85,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19.72
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 35.85,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1.5,
              "estimated_amount": 1.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 23.34
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1.5,
              "estimated_amount": 1.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1.5,
              "estimated_amount": 1.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 23.34
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 22.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 22.66
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 29.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.02
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 35.85,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 35.85,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 0.9,
              "estimated_amount": 0.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 29.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.02
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 35.85,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.47
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 35.85,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1.5,
              "estimated_amount": 1.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1.5,
              "estimated_amount": 1.5
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 26.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 22.66
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19.72
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 27.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 27.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.02
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 35.85,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1.5,
              "estimated_amount": 1.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 29
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.47
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 35.85,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1.5,
              "estimated_amount": 1.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 29
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 26.89
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 29.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.02
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 35.85,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 35.85,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 29.72
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 29.72
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 35.85,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 35.85,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.02
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 35.85,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1.5,
              "estimated_amount": 1.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 23.34
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 35.85,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1.5,
              "estimated_amount": 1.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 26.17
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1.4,
              "estimated_amount": 1.4
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 23.3
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 23.66
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 29.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 29.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 27.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 27.39
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 29.72
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 35.85,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 35.85,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 26.17
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1.4,
              "estimated_amount": 1.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1.5,
              "estimated_amount": 1.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 23.34
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1.4,
              "estimated_amount": 1.4
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 35.85,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 9.79
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 22.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.02
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 35.85,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.47
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 35.85,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 22.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 22.66
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 29.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19.72
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 35.85,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1.5,
              "estimated_amount": 1.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 26.17
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 26.17
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1.4,
              "estimated_amount": 1.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1.5,
              "estimated_amount": 1.5
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 27.39
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19.72
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 35.85,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1.5,
              "estimated_amount": 1.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1.5,
              "estimated_amount": 1.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 23.34
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 35.85,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1.5,
              "estimated_amount": 1.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 26.17
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 26.17
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 22.66
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 35.85,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 29.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 29.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.02
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 31.55
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 26.89
            }
          ],
          "minimum": 0.9,
          "maximum": 1.5
        }
      ]
    },
    {
      "description": "INV CRIZOTINIB 200 MG CAPSULE",
      "drug_information": {
        "unit": "1",
        "type": "UN"
      },
      "code_information": [
        {
          "code": "RX-491227",
          "type": "CDM"
        },
        {
          "code": "25600001",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.65,
          "discounted_cash": 0.42,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.5
            },
            {
              "payer_name": "OSU [553]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.5
            }
          ]
        }
      ]
    },
    {
      "description": "INV AFATINIB 30 MG TABLET",
      "drug_information": {
        "unit": "30",
        "type": "UN"
      },
      "code_information": [
        {
          "code": "RX-491259",
          "type": "CDM"
        },
        {
          "code": "25600001",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.65,
          "discounted_cash": 0.42,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "HEALTHREACH [540]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.5
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.5
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.49
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "OSU [553]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.49
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.49
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.5
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.42
            }
          ]
        }
      ]
    },
    {
      "description": "INV AFATINIB 40 MG TABLET",
      "drug_information": {
        "unit": "30",
        "type": "UN"
      },
      "code_information": [
        {
          "code": "RX-491260",
          "type": "CDM"
        },
        {
          "code": "25600001",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.65,
          "discounted_cash": 0.42,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
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              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
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              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
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              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.49
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.49
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.49
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.41
            }
          ]
        }
      ]
    },
    {
      "description": "INV PANITUMUMAB INJECTION 100 MG/5 ML",
      "drug_information": {
        "unit": "5",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-491628",
          "type": "CDM"
        },
        {
          "code": "J9303",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.65,
          "discounted_cash": 0.42,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1482.13,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.5
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1556.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 0.65,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1496.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1482.13,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 0.65,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.5
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1482.13,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1482.13,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1482.13,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1556.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1482.13,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 0.65,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1556.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 0.65,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1482.13,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.49
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1496.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1496.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1556.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 0.65,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1482.13,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1482.13,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1482.13,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1496.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1496.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 0.65,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.55
            }
          ]
        }
      ]
    },
    {
      "description": "INV BINIMETINIB 15 MG TABLET",
      "drug_information": {
        "unit": "1",
        "type": "UN"
      },
      "code_information": [
        {
          "code": "RX-491640",
          "type": "CDM"
        },
        {
          "code": "25600001",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.65,
          "discounted_cash": 0.42,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.49
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.49
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 0.42
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.41
            }
          ]
        }
      ]
    },
    {
      "description": "METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK",
      "drug_information": {
        "unit": "50",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-5018",
          "type": "CDM"
        },
        {
          "code": "J1836",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 62.35,
          "discounted_cash": 40.53,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 39.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 40.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 47.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 47.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2,
              "estimated_amount": 2
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 45.52
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 45.52
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2,
              "estimated_amount": 2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 40.59
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 53
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 54.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 40.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 40.03
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 39.41
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 51.69
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 62.35,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 40.59
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1.76,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1.76,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2,
              "estimated_amount": 2
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 39.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 47.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 40.03
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 34.29
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 34.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2,
              "estimated_amount": 2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2,
              "estimated_amount": 2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2,
              "estimated_amount": 2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 40.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 40.59
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1.76,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 34.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 40.03
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 62.35,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 39.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 39.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 40.03
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 46.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2,
              "estimated_amount": 2
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 45.52
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 17.02
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 53
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 46.76
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 41.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2,
              "estimated_amount": 2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 50.44
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 45.52
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1.76,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 62.35,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 47.64
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 54.87
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 39.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 51.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 40.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 40.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2,
              "estimated_amount": 2
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 45.52
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 53
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 53
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 62.35,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2,
              "estimated_amount": 2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2,
              "estimated_amount": 2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 50.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 40.59
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 46.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 54.68
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 51.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 47.64
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 62.35,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2,
              "estimated_amount": 2
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 53
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 51.13
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 51.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 47.64
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 53
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 51.13
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 34.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 40.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 40.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2,
              "estimated_amount": 2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2,
              "estimated_amount": 2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2,
              "estimated_amount": 2
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 40.53
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 45.52
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 53
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 51.13
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 51.13
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 51.13
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 51.13
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 34.29
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 34.29
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 53
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 34.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2,
              "estimated_amount": 2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2,
              "estimated_amount": 2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1.76,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 40.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 40.03
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 62.35,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 39.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 39.41
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 51.69
            }
          ],
          "minimum": 1.76,
          "maximum": 2
        }
      ]
    },
    {
      "description": "PENICILLIN V POTASSIUM 250 MG/5 ML ORAL SOLUTION",
      "drug_information": {
        "unit": "100",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-6091",
          "type": "CDM"
        },
        {
          "code": "63700001",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 30.35,
          "discounted_cash": 19.73,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 19.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 24.89
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 24.89
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 16.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 19.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 19.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 19.76
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 25.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 26.62
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 16.69
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 16.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 23.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 19.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 23.19
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 25.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 24.89
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 24.89
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 24.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 19.48
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 25.16
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 25.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 19.06
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 22.16
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 16.84
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 25.16
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 25.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 26.62
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 24.89
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 26.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 19.06
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 25.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 19.7
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 22.16
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 30.35
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 19.73
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 25.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 19.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 19.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 23.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 19.48
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 24.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 19.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 23.19
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 25.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 19.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 19.76
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 16.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 19.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 19.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 19.76
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 25.8
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 20.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 19.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 19.18
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 22.76
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 25.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 19.7
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 16.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 19.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 23.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 19.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 19.48
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 25.8
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 25.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 24.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 16.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 19.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 19.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 19.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 19.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 19.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 19.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 19.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 19.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 19.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 19.06
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 22.16
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 16.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 23.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 19.48
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 25.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 24.89
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 16.69
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 16.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 19.48
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 22.16
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 22.76
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 25.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 19.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 19.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 19.06
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 22.16
            },
            {
              "payer_name": "OSU [553]",
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              "standard_charge_percentage": 73,
              "estimated_amount": 22.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
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              "standard_charge_percentage": 63.2,
              "estimated_amount": 19.18
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 19.48
            },
            {
              "payer_name": "CIGNA [370]",
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              "standard_charge_percentage": 80.9,
              "estimated_amount": 24.55
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
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              "standard_charge_percentage": 27.3,
              "estimated_amount": 8.29
            },
            {
              "payer_name": "HEALTHLINK [443]",
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              "standard_charge_percentage": 75,
              "estimated_amount": 22.76
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 16.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 19.48
            }
          ]
        }
      ]
    },
    {
      "description": "PERPHENAZINE 2 MG TABLET",
      "drug_information": {
        "unit": "1",
        "type": "UN"
      },
      "code_information": [
        {
          "code": "RX-6157",
          "type": "CDM"
        },
        {
          "code": "63700001",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 7.4,
          "discounted_cash": 4.81,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
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              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.68
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 76.4,
              "estimated_amount": 5.65
            },
            {
              "payer_name": "CIGNA [370]",
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              "standard_charge_percentage": 65.1,
              "estimated_amount": 4.82
            },
            {
              "payer_name": "OSU [553]",
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              "standard_charge_percentage": 73,
              "estimated_amount": 5.4
            },
            {
              "payer_name": "OSU [553]",
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              "standard_charge_percentage": 73,
              "estimated_amount": 5.4
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
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              "standard_charge_percentage": 75,
              "estimated_amount": 5.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
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              "standard_charge_percentage": 65.1,
              "estimated_amount": 4.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.75
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 6.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.75
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4.82
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 5.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6.07
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 5.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 5.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 4.65
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 4.88
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 4.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 4.65
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5.4
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 2.02
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.29
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.29
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.07
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4.82
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.75
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.29
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 4.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 4.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 4.65
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 4.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 5.99
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5.4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.29
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 5.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 4.65
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5.4
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 4.65
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4.11
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 6.49
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 5.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6.07
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 6.13
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 6.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 4.65
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.29
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 4.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 4.65
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 7.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 5.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.75
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 5.55
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 4.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 5.99
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 4.65
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.29
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.75
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 6.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 4.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4.11
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6.07
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.75
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 6.13
            }
          ]
        }
      ]
    },
    {
      "description": "POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION",
      "drug_information": {
        "unit": "15",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-6451",
          "type": "CDM"
        },
        {
          "code": "25000049",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 101.55,
          "discounted_cash": 66.01,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 64.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 83.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 65.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 63.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 66.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 82.15
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 56.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 64.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 64.18
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 55.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 77.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 77.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 65.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 65.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 77.58
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 84.18
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 89.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 65.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 65.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 65.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 83.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 89.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 64.18
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 84.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 63.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 63.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 63.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 63.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 66.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 66.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 63.77
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 74.13
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 74.13
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 86.32
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 86.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 89.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 83.27
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 83.27
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 83.27
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 55.85
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 86.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 55.85
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 86.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 82.15
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 56.36
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 66.01
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 86.32
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 76.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 83.27
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 55.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 55.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 65.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 84.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 64.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 83.27
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 67.02
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 101.55
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 86.32
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 76.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 55.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 64.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 77.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 77.58
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 76.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 65.91
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 66.11
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 86.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 63.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 63.77
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 27.72
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 86.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 83.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 65.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 64.18
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 55.85
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 86.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 63.77
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 56.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 63.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 65.91
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 56.36
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 86.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 77.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 65.2
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 86.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 64.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 65.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 65.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 63.77
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 74.13
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 74.13
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 86.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 63.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 66.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 65.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 63.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 65.91
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 74.13
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 74.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 65.2
            }
          ]
        }
      ]
    },
    {
      "description": "PREDNISONE 1 MG TABLET",
      "drug_information": {
        "unit": "5",
        "type": "UN"
      },
      "code_information": [
        {
          "code": "RX-6493",
          "type": "CDM"
        },
        {
          "code": "J7512",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 6.05,
          "discounted_cash": 3.93,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.33
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.05,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.05,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.62
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.05,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 5.02
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 6.05,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.14
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.05,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.14
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 5.31
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.88
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.05,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.62
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.05,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.05,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.05,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.42
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.62
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 5.02
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 5.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.88
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.05,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.94
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.42
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.94
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.14
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4.54
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4.54
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.14
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.33
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.05,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 6.05,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.05,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.36
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 3.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.42
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.05,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.96
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.88
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.05,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 6.05,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4.89
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 6.05,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.82
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.05,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 5.02
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.88
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.05,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.05,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.05,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.94
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.36
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.14
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.14
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 6.05,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.42
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.33
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.14
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.42
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.94
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 6.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 5.31
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.96
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.05,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4.89
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.42
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.36
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.05,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 3.99
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.88
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 6.05,
              "additional_payer_notes": "OUTPATIENT"
            }
          ]
        }
      ]
    },
    {
      "description": "PYRIDOXINE (VITAMIN B6) 100 MG/ML INJECTION SOLUTION",
      "drug_information": {
        "unit": "0.1",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-6744",
          "type": "CDM"
        },
        {
          "code": "J3415",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 38.55,
          "discounted_cash": 25.06,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 24.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 24.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 24.75
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 38.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 28.14
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 28.14
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 38.55,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 28.91
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 31.19
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.1,
              "estimated_amount": 35.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.1,
              "estimated_amount": 35.1
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 32.77
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 21.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 38.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 38.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 31.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 29.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 24.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 38.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 31.96
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 28.14
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 38.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 32.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 47.8,
              "estimated_amount": 47.8
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 28.14
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 32.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 24.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 24.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 38.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 31.96
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 38.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 38.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 32.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 24.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 24.75
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 38.55,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 10.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 47.8,
              "estimated_amount": 47.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 25.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 25.1
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 32.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 33.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 29.45
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 38.55,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 24.36
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 31.61
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 21.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 24.75
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 38.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 38.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 33.92
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 25.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 47.8,
              "estimated_amount": 47.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 25.1
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 28.14
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 32.77
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 32.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 24.36
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 31.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 24.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 29.45
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 32.77
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 31.61
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 31.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 24.75
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 31.96
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 38.55,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 38.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 47.8,
              "estimated_amount": 47.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 47.8,
              "estimated_amount": 47.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 47.8,
              "estimated_amount": 47.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 47.8,
              "estimated_amount": 47.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 31.61
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 21.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 24.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 24.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 29.45
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 38.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 24.36
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 21.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 21.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 29.45
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 38.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 32.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 47.8,
              "estimated_amount": 47.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 31.19
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 28.14
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 38.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.1,
              "estimated_amount": 35.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.1,
              "estimated_amount": 35.1
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 38.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 32.77
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 32.77
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 38.55,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 47.8,
              "estimated_amount": 47.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 24.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 24.36
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 31.61
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 38.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 47.8,
              "estimated_amount": 47.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 47.8,
              "estimated_amount": 47.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.1,
              "estimated_amount": 35.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 47.8,
              "estimated_amount": 47.8
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 28.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 33.81
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 31.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 29.45
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 38.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 38.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 38.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 28.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 24.75
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 32.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 47.8,
              "estimated_amount": 47.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 47.8,
              "estimated_amount": 47.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 25.1
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 25.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 47.8,
              "estimated_amount": 47.8
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 32.77
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 21.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 21.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 47.8,
              "estimated_amount": 47.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 47.8,
              "estimated_amount": 47.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 25.1
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 32.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 24.75
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 38.55,
              "additional_payer_notes": "OUTPATIENT"
            }
          ],
          "minimum": 35.1,
          "maximum": 47.8
        }
      ]
    },
    {
      "description": "SULFADIAZINE 500 MG TABLET",
      "drug_information": {
        "unit": "1",
        "type": "UN"
      },
      "code_information": [
        {
          "code": "RX-7554",
          "type": "CDM"
        },
        {
          "code": "63700001",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 51,
          "discounted_cash": 33.15,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 32.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 41.26
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 37.23
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 43.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 32.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 33.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 33.2
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 37.23
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 37.23
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 28.31
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 13.92
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 41.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 28.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 38.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 42.28
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 38.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 44.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 37.23
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 43.35
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 33.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 33.2
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 37.23
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 51
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 28.31
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 43.35
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 38.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 32.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 41.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 32.74
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 44.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 44.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 32.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 32.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 32.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 41.82
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 43.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 33.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 33.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 32.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 32.03
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 33.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 32.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 32.23
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 28.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 38.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 28.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 28.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 28.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 32.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 33.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 28.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 32.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 32.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 41.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 41.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 32.74
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 28.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 32.74
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 43.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 32.03
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 28.31
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 43.35
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 43.35
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 43.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 32.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 32.74
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 42.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 41.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 32.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 38.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 32.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 32.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 32.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 38.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 42.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 33.1
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 37.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 32.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 32.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 41.26
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 33.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 32.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 38.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 28.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 32.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 32.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 33.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 32.03
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 38.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 32.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 41.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 41.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 32.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 32.74
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 43.35
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 43.35
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 43.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 32.03
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 43.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 38.96
            }
          ]
        }
      ]
    },
    {
      "description": "TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM",
      "drug_information": {
        "unit": "15",
        "type": "GR"
      },
      "code_information": [
        {
          "code": "RX-8113",
          "type": "CDM"
        },
        {
          "code": "63700001",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 13.7,
          "discounted_cash": 8.9,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8.66
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 11.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 8.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 13.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 8.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 8.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 12.01
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 12.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 8.6
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 10.28
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 11.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 8.92
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 10
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 10
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 10.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 10.47
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 8.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 8.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 8.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 8.92
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 8.92
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 7.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 8.89
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8.66
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 11.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 10.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.8
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 11.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8.66
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 11.23
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.54
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 11.36
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 8.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 8.6
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 8.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8.66
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 11.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 11.23
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.54
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 10.47
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 11.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.8
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 8.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 8.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 8.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 7.6
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 8.6
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8.66
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 11.23
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.54
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 10.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 8.6
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 10
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 9.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 8.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 8.92
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 7.6
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 10.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.54
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 11.08
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 7.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 8.6
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8.66
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 11.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 10.47
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.8
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 11.36
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 10.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 8.6
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 10
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 10
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.65
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 3.74
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 12.01
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.8
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 10
            }
          ]
        }
      ]
    },
    {
      "description": "MARAVIROC 300 MG TABLET",
      "drug_information": {
        "unit": "1",
        "type": "UN"
      },
      "code_information": [
        {
          "code": "RX-87999",
          "type": "CDM"
        },
        {
          "code": "63700001",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 88.05,
          "discounted_cash": 57.23,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
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              "standard_charge_percentage": 63.2,
              "estimated_amount": 55.65
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 48.43
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 48.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 56.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 55.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 55.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
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              "standard_charge_percentage": 55.5,
              "estimated_amount": 48.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 57.14
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 64.28
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 74.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
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              "standard_charge_percentage": 63.2,
              "estimated_amount": 55.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 72.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 48.43
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 66.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 55.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 72.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 57.32
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 64.28
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 64.28
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 48.87
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 88.05
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 74.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 55.3
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 57.23
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 48.43
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 77.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 55.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
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              "standard_charge_percentage": 63.2,
              "estimated_amount": 55.65
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 48.43
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 56.53
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 74.84
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 74.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 77.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 72.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 56.53
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 72.99
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 72.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 55.3
            },
            {
              "payer_name": "CIGNA [370]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 57.32
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 48.87
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 74.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 56.53
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 72.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 72.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 55.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 55.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 57.14
            },
            {
              "payer_name": "ANTHEM [335]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 48.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 55.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 57.14
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 66.04
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 58.11
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 74.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 55.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 67.27
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 74.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 77.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 56.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 67.27
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 74.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 55.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 55.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 57.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 55.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 72.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 48.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 67.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 55.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 72.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 56.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 55.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 55.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 55.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 57.32
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 64.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 55.3
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 74.84
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 24.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 48.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 56.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 56.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 67.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 56.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 67.27
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 72.2
            },
            {
              "payer_name": "CIGNA [370]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 71.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 57.32
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 64.28
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 74.84
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 74.84
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 66.04
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 71.23
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 64.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 56.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 67.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 56.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 56.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 57.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 72.2
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 74.84
            }
          ]
        }
      ]
    },
    {
      "description": "ZINC OXIDE 20 % TOPICAL OINTMENT",
      "drug_information": {
        "unit": "28.4",
        "type": "GR"
      },
      "code_information": [
        {
          "code": "RX-8874",
          "type": "CDM"
        },
        {
          "code": "63700001",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 4.6,
          "discounted_cash": 2.99,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.91
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 2.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 2.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 2.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.99
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 4.6
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.91
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.77
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.77
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3.81
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 2.99
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.36
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 2.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 2.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 2.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 2.89
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.91
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.99
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.55
            },
            {
              "payer_name": "UHC [625]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 2.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3.72
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.91
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.77
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 4.05
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.91
            },
            {
              "payer_name": "ANTHEM [335]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 2.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.91
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 2.89
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.91
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3.72
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.91
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.77
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.53
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 2.99
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1.26
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 2.99
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.99
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.36
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.45
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.91
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.77
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.77
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.77
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 2.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.99
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.36
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 2.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 2.89
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.36
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.91
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.51
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.51
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.36
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 2.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 2.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.99
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.91
            },
            {
              "payer_name": "MMO [485]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.91
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 3.04
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.91
            }
          ]
        }
      ]
    },
    {
      "description": "CLOPIDOGREL 300 MG TABLET",
      "drug_information": {
        "unit": "1",
        "type": "UN"
      },
      "code_information": [
        {
          "code": "RX-89346",
          "type": "CDM"
        },
        {
          "code": "63700001",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 29.3,
          "discounted_cash": 19.04,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
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              "standard_charge_percentage": 63.2,
              "estimated_amount": 18.52
            },
            {
              "payer_name": "MMO [485]",
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              "standard_charge_percentage": 63.2,
              "estimated_amount": 18.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
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              "standard_charge_percentage": 63.2,
              "estimated_amount": 18.52
            },
            {
              "payer_name": "FLORA [411]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 24.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 18.4
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 24.91
            },
            {
              "payer_name": "PARAMOUNT [555]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 24.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 18.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 18.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 23.7
            },
            {
              "payer_name": "OSU [553]",
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              "standard_charge_percentage": 73,
              "estimated_amount": 21.39
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 24.91
            },
            {
              "payer_name": "AETNA [310]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 18.81
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 24.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 18.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 18.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
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              "standard_charge_percentage": 65.1,
              "estimated_amount": 19.07
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 64.9,
              "estimated_amount": 19.02
            },
            {
              "payer_name": "OSU [553]",
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              "standard_charge_percentage": 73,
              "estimated_amount": 21.39
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 16.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 18.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
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              "standard_charge_percentage": 76.4,
              "estimated_amount": 22.39
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
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              "standard_charge_percentage": 82.9,
              "estimated_amount": 24.29
            },
            {
              "payer_name": "GREATWEST [550]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 24.29
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 21.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
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              "standard_charge_percentage": 63.2,
              "estimated_amount": 18.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
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              "standard_charge_percentage": 63.2,
              "estimated_amount": 18.52
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
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              "standard_charge_percentage": 82,
              "estimated_amount": 24.03
            },
            {
              "payer_name": "AETNA [310]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 22.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 18.81
            },
            {
              "payer_name": "EMERALD [395]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 24.91
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 18.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 16.26
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 16.26
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 16.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 18.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 18.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 22.39
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 24.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 18.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 23.7
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 21.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 18.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 18.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 16.12
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 16.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 22.39
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 24.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 19.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 18.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 19.07
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 21.39
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 21.39
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 16.26
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 16.26
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 19.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 24.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 24.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 24.03
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 16.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 18.81
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 24.91
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 25.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 18.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 19.07
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 19.07
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 24.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 19.02
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 8
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 21.98
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 24.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 18.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 18.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 18.52
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 24.03
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 16.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 18.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 18.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 18.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 18.81
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 21.39
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 24.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 25.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 25.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 18.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 22.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 22.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 18.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 19.07
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 21.98
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 24.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 19.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 18.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 29.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 24.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 18.4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 24.91
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 19.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 24.03
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 16.12
            }
          ]
        }
      ]
    },
    {
      "description": "ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION",
      "drug_information": {
        "unit": "250",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-8982",
          "type": "CDM"
        },
        {
          "code": "P9045",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 202.3,
          "discounted_cash": 131.49,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 127.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 127.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 165.89
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 111.27
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 111.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 143.85,
              "estimated_amount": 143.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 131.7
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 147.68
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 147.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 143.85,
              "estimated_amount": 143.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 143.85,
              "estimated_amount": 143.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 143.85,
              "estimated_amount": 143.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 129.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 129.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 165.89
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 165.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 154.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 129.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 129.88
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 52.54,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 171.96
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 171.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 143.85,
              "estimated_amount": 143.85
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 52.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 171.96
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 171.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 129.88
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 167.71
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 52.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 52.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 165.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 129.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 129.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 143.85,
              "estimated_amount": 143.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 143.85,
              "estimated_amount": 143.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 163.66
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 147.68
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 202.3,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 133.52
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 147.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 127.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 165.89
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 111.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 129.88
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 54.62,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 171.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 127.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 165.89
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 111.27
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 167.71
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 202.3,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 151.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 143.85,
              "estimated_amount": 143.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 171.96
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 131.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 171.96
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 171.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 154.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 154.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 154.56
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 54.62,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 177.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 177.42
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 52.54,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 52.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 167.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 143.85,
              "estimated_amount": 143.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 131.7
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 124.21,
              "estimated_amount": 124.21
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 171.96
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 202.3,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 143.85,
              "estimated_amount": 143.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 127.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 129.88
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 52.54,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 178.02
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 171.96
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 52.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 52.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 143.85,
              "estimated_amount": 143.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 143.85,
              "estimated_amount": 143.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 143.85,
              "estimated_amount": 143.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 124.21,
              "estimated_amount": 124.21
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 111.27
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 111.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 129.88
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 52.54,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 127.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 165.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 154.56
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 52.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 202.3,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 202.3,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 163.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 131.7
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 124.21,
              "estimated_amount": 124.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 143.85,
              "estimated_amount": 143.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 131.7
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 52.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 52.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 124.21,
              "estimated_amount": 124.21
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 171.96
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 171.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 165.89
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 54.62,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 111.27
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 52.54,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 143.85,
              "estimated_amount": 143.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 131.7
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 147.68
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 55.23
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 171.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 151.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 143.85,
              "estimated_amount": 143.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 143.85,
              "estimated_amount": 143.85
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 147.68
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 151.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 129.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 129.88
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 124.21,
              "estimated_amount": 124.21
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 171.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 127.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 127.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 154.56
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 54.62,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 52.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 202.3,
              "additional_payer_notes": "OUTPATIENT"
            }
          ],
          "minimum": 124.21,
          "maximum": 143.85
        }
      ]
    },
    {
      "description": "ALUMINUM-MAG HYDROXIDE-SIMETHICONE 400 MG-400 MG-40 MG/5 ML ORAL SUSP",
      "drug_information": {
        "unit": "10",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-9014",
          "type": "CDM"
        },
        {
          "code": "63700001",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 13.5,
          "discounted_cash": 8.77,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 11.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 11.07
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.43
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.43
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 10.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 8.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 8.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 8.79
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 9.86
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 9.86
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.48
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8.53
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 10.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 10.92
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 10.13
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8.53
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 11.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 8.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 8.48
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 8.76
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 7.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 10.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.67
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8.53
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 11.07
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 8.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 8.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 8.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 8.79
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 8.79
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 8.79
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 7.49
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 8.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8.53
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 11.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 11.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 10.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 10.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.67
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 11.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 8.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 8.48
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 13.5
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 3.69
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.48
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 8.48
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 9.86
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 10.13
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.48
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 11.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 10.31
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.48
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.48
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 9.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 8.48
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 9.86
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 7.49
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 7.49
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 8.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.67
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.67
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 11.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 8.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 8.48
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 9.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.67
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8.53
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 10.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.67
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 11.19
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 8.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 8.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 10.92
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.48
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.48
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 11.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 11.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 11.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 11.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 8.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 8.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8.53
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 11.19
            }
          ]
        }
      ]
    },
    {
      "description": "CEPHALEXIN 125 MG/5 ML ORAL SUSPENSION",
      "drug_information": {
        "unit": "5",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-9501",
          "type": "CDM"
        },
        {
          "code": "63700001",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 11.15,
          "discounted_cash": 7.25,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.16
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 6.19
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8.14
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 8.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 7.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7.26
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 6.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 9.02
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.48
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 7.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 9.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.14
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.13
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.16
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.48
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 7.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 7.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 9.02
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8.14
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 3.04
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 9.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.16
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 9.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 7.24
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7.26
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7.26
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.48
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 7
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.48
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 8.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 7
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8.14
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.48
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.14
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8.52
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 9.24
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.48
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.14
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7.26
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 7
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.48
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 9.81
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 7
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8.14
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8.14
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.48
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 6.19
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 6.19
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 11.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.16
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 9.24
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 8.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7.26
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 7.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8.52
            }
          ]
        }
      ]
    },
    {
      "description": "CYCLOPENTOLATE 2 % EYE DROPS",
      "drug_information": {
        "unit": "5",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-9700",
          "type": "CDM"
        },
        {
          "code": "63700001",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 263.8,
          "discounted_cash": 171.47,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 231.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 201.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 169.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 201.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 165.67
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 171.73
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 146.41
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 146.41
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 146.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 171.21
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 192.57
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 224.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 166.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 169.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 169.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 201.54
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 218.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 166.72
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 145.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 169.36
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 224.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 165.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 171.21
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 171.73
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 224.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 165.67
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 192.57
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 174.11
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 216.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 145.09
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 218.69
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 224.23
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 224.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 216.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 216.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 145.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 171.21
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 224.23
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 224.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 165.67
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 166.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 216.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 216.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 169.36
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 145.09
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 145.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 201.54
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 218.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 165.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 165.67
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 192.57
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 224.23
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 197.85
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 171.47
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 197.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 171.73
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 213.41
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 192.57
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 72.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 166.72
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 145.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 169.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 169.36
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 216.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 169.36
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 224.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 216.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 171.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 231.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 166.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 169.36
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 197.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 166.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 166.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 201.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 165.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 165.67
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 192.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 165.67
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 263.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 216.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 169.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 169.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 201.54
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 224.23
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 232.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 165.67
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 171.73
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 224.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 171.21
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 213.41
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 192.57
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 146.41
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 224.23
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 145.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 165.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 165.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 165.67
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 166.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 169.36
            }
          ]
        }
      ]
    },
    {
      "description": "POTASSIUM CHLORIDE 40 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV",
      "drug_information": {
        "unit": "1000",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-9807",
          "type": "CDM"
        },
        {
          "code": "J3480",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 75.55,
          "discounted_cash": 49.11,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 47.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 48.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 48.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 62.63
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 75.55,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3.2,
              "estimated_amount": 3.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6,
              "estimated_amount": 6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.15,
              "estimated_amount": 5.15
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 20.63
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 64.22
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 64.22
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 61.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 49.18
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 75.55,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 61.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 57.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 48.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 48.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 57.72
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 66.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 49.18
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 64.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6,
              "estimated_amount": 6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6,
              "estimated_amount": 6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6,
              "estimated_amount": 6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 49.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 48.5
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 64.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 61.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 41.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 48.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 49.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6,
              "estimated_amount": 6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6,
              "estimated_amount": 6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.15,
              "estimated_amount": 5.15
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 64.22
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 64.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 47.75
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 75.55,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 61.95
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 62.63
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6,
              "estimated_amount": 6
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 55.15
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.15,
              "estimated_amount": 5.15
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 56.66
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 49.86
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 55.15
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 64.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 47.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 47.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 48.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 62.63
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 41.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 48.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6,
              "estimated_amount": 6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6,
              "estimated_amount": 6
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 64.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6,
              "estimated_amount": 6
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 55.15
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 75.55,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 66.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 57.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 48.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 66.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 61.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 57.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 48.5
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6,
              "estimated_amount": 6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6,
              "estimated_amount": 6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 49.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6,
              "estimated_amount": 6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6,
              "estimated_amount": 6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.15,
              "estimated_amount": 5.15
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 64.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 47.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 41.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 61.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 41.55
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 75.55,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 61.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6,
              "estimated_amount": 6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6,
              "estimated_amount": 6
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 55.15
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 64.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 47.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 47.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 61.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 41.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 57.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 48.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 47.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 61.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 41.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 48.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 57.72
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 55.15
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 64.22
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 49.18
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 55.15
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 56.66
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 56.66
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 64.22
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 64.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6,
              "estimated_amount": 6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.15,
              "estimated_amount": 5.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 61.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 41.55
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 75.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 75.55,
              "additional_payer_notes": "OUTPATIENT"
            }
          ],
          "minimum": 3.2,
          "maximum": 6
        }
      ]
    },
    {
      "description": "DOBUTAMINE 250 MG/20 ML (12.5 MG/ML) INTRAVENOUS SOLUTION",
      "drug_information": {
        "unit": "20",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-9892",
          "type": "CDM"
        },
        {
          "code": "J1250",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 66.5,
          "discounted_cash": 43.22,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 42.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 42.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 42.03
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 36.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 42.69
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 66.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 66.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 66.5,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.49,
              "estimated_amount": 21.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.49,
              "estimated_amount": 21.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.49,
              "estimated_amount": 21.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.49,
              "estimated_amount": 21.49
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.67,
              "estimated_amount": 21.67
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 18.15
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 56.53
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 54.53
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 54.53
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 54.53
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 54.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 42.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 50.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 42.69
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 66.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 66.5,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 54.53
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 36.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 42.69
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.67,
              "estimated_amount": 21.67
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 56.53
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 56.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.49,
              "estimated_amount": 21.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 42.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 42.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 54.53
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 36.58
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 66.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 66.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 66.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 66.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 56.53
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 66.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 66.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.49,
              "estimated_amount": 21.49
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 53.8
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 48.55
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 48.55
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 56.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.49,
              "estimated_amount": 21.49
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 48.55
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 66.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 42.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 42.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 50.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 50.81
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 56.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 42.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 50.81
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 55.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.49,
              "estimated_amount": 21.49
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 56.53
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 49.88
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 43.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.49,
              "estimated_amount": 21.49
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 56.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 42.03
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 36.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 42.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 42.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 50.81
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 66.5,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.49,
              "estimated_amount": 21.49
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 43.29
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 66.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 43.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 43.29
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 66.5,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 56.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 58.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 36.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 50.81
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 66.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 66.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.49,
              "estimated_amount": 21.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.49,
              "estimated_amount": 21.49
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 43.29
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 48.55
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.67,
              "estimated_amount": 21.67
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 56.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.49,
              "estimated_amount": 21.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.49,
              "estimated_amount": 21.49
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 49.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 42.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 42.69
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 66.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 48.55
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 48.55
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.67,
              "estimated_amount": 21.67
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 66.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 56.53
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 43.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 42.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 42.69
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 66.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 66.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 56.53
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 54.53
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 36.58
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 36.58
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 56.53
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 49.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.49,
              "estimated_amount": 21.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.49,
              "estimated_amount": 21.49
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.67,
              "estimated_amount": 21.67
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 66.5,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 42.69
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 55.13
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 66.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 66.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 58.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.49,
              "estimated_amount": 21.49
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 43.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 53.8
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 56.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 58.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 54.53
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 55.13
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 66.5,
              "additional_payer_notes": "OUTPATIENT"
            }
          ],
          "minimum": 21.49,
          "maximum": 21.67
        }
      ]
    },
    {
      "description": "EPOETIN ALFA 4,000 UNIT/ML INJECTION SOLUTION",
      "drug_information": {
        "unit": "1",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-9941",
          "type": "CDM"
        },
        {
          "code": "J0885",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 549,
          "discounted_cash": 356.85,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 481.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 346.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 346.97
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 301.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 301.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 352.46
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 455.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 88.12,
              "estimated_amount": 88.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 88.12,
              "estimated_amount": 88.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 88.12,
              "estimated_amount": 88.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 444.14
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 77.41,
              "estimated_amount": 77.41
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 149.88
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 32.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 77.41,
              "estimated_amount": 77.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 346.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 346.97
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 450.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 352.46
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 32.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 466.65
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 400.77
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 400.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 88.12,
              "estimated_amount": 88.12
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 466.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 352.46
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 32.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 455.12
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 32.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 549,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 88.12,
              "estimated_amount": 88.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 357.4
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 466.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 357.4
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 400.77
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 32.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 450.18
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 301.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 352.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 419.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 419.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 450.18
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 32.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 466.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 88.12,
              "estimated_amount": 88.12
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 400.77
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 549,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 411.75
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 466.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 88.12,
              "estimated_amount": 88.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 88.12,
              "estimated_amount": 88.12
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 32.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 466.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 450.18
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 455.12
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 32.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 34.05,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 549,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 450.18
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 301.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 352.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 419.44
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 32.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 88.12,
              "estimated_amount": 88.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 88.12,
              "estimated_amount": 88.12
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 77.41,
              "estimated_amount": 77.41
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 466.65
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 466.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 411.75
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 362.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 88.12,
              "estimated_amount": 88.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 357.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 77.41,
              "estimated_amount": 77.41
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 77.41,
              "estimated_amount": 77.41
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 466.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 346.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 419.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 352.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 352.46
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 32.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 32.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 483.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 88.12,
              "estimated_amount": 88.12
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 466.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 88.12,
              "estimated_amount": 88.12
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 400.77
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 466.65
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 549,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 450.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 352.46
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 34.05,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 346.97
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 450.18
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 301.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 352.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 352.46
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 32.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 32.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 34.05,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 88.12,
              "estimated_amount": 88.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 88.12,
              "estimated_amount": 88.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 357.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 444.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 346.97
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 301.95
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 466.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 450.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 419.44
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 34.05,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 88.12,
              "estimated_amount": 88.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 357.4
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 400.77
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 356.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 346.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 481.47
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 301.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 352.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 419.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 352.46
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 549,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 549,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 88.12,
              "estimated_amount": 88.12
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 466.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 32.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 32.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 411.75
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 88,
              "estimated_amount": 88
            }
          ],
          "minimum": 77.41,
          "maximum": 88.12
        }
      ]
    },
    {
      "description": "ILOPERIDONE 2 MG TABLET",
      "drug_information": {
        "unit": "1",
        "type": "UN"
      },
      "code_information": [
        {
          "code": "RX-99454",
          "type": "CDM"
        },
        {
          "code": "63700001",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 90.9,
          "discounted_cash": 59.08,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 57.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 50
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 50
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 57.09
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 66.36
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 66.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 57.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 73.54
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 50.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 74.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 58.36
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 68.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 69.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 69.45
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 77.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 57.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 57.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 58.99
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 66.36
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 77.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 58.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 58.36
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 75.36
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 50
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 75.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 57.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 58.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 57.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 59.18
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 59.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 57.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 57.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 58.99
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 57.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 58.36
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 77.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 57.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 74.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 58.36
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 77.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 57.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 59.18
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 68.18
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 77.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 57.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 57.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 57.09
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 90.9
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 77.27
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 74.54
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 50
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 69.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 57.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 79.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 74.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 74.54
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 24.82
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 50.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 57.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 74.54
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 50
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 58.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 58.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 57.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 58.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 58.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 69.45
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 77.27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 73.54
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 59.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 57.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 74.54
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 50
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 69.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 79.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 58.36
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 77.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 57.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 59.18
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 66.36
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 50.45
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 59.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 58.99
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 59.18
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 77.27
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 74.54
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 50
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 58.36
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 75.36
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 79.99
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 77.27
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 68.18
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 66.36
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 77.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 69.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 58.36
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 66.36
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 50.45
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 77.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 57.45
            }
          ]
        }
      ]
    },
    {
      "description": "PALIPERIDONE PALMITATE 156 MG/ML INTRAMUSCULAR SYRINGE",
      "drug_information": {
        "unit": "1",
        "type": "ML"
      },
      "code_information": [
        {
          "code": "RX-99702",
          "type": "CDM"
        },
        {
          "code": "J2426",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 11115.65,
          "discounted_cash": 7225.17,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 9748.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7025.09
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6113.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7136.25
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2292.12,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 11115.65,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2182.97,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9448.3
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9448.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6197.88,
              "estimated_amount": 6197.88
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2182.97,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2292.12,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7136.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2204.8,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6197.88,
              "estimated_amount": 6197.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7236.29
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9448.3
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9448.3
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 11115.65,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6197.88,
              "estimated_amount": 6197.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6197.88,
              "estimated_amount": 6197.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6197.88,
              "estimated_amount": 6197.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7236.29
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9114.83
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6113.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8492.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7025.09
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9114.83
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9114.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7136.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2182.97,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 2434.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6197.88,
              "estimated_amount": 6197.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7236.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7236.29
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8114.42
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9448.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6197.88,
              "estimated_amount": 6197.88
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8114.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6113.61
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2292.12,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9114.83
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6113.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8492.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7136.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7136.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7136.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2204.8,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2182.97,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6197.88,
              "estimated_amount": 6197.88
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8114.42
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 8336.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7025.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7136.25
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 9214.87
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 8336.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7025.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7025.09
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9114.83
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6113.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8492.36
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2182.97,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2182.97,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6197.88,
              "estimated_amount": 6197.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6197.88,
              "estimated_amount": 6197.88
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 8336.74
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9448.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6197.88,
              "estimated_amount": 6197.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 8992.56
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9448.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9114.83
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6113.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7136.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7136.25
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 9214.87
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9448.3
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 9781.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6197.88,
              "estimated_amount": 6197.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6197.88,
              "estimated_amount": 6197.88
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 7225.17
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 8992.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7136.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2204.8,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2292.12,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 11115.65,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9448.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7025.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 9748.43
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9114.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8492.36
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2182.97,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9448.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5212.77,
              "estimated_amount": 5212.77
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5212.77,
              "estimated_amount": 5212.77
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 3034.57
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 11115.65,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9448.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6197.88,
              "estimated_amount": 6197.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6197.88,
              "estimated_amount": 6197.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6197.88,
              "estimated_amount": 6197.88
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5212.77,
              "estimated_amount": 5212.77
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2182.97,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9114.83
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6113.61
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2182.97,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 11115.65,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7025.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7136.25
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2204.8,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8114.42
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8114.42
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8114.42
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5212.77,
              "estimated_amount": 5212.77
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9448.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7136.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8492.36
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2204.8,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 9214.87
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2182.97,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9448.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6197.88,
              "estimated_amount": 6197.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7236.29
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5212.77,
              "estimated_amount": 5212.77
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 7336.33
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9448.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7025.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8492.36
            }
          ],
          "minimum": 5212.77,
          "maximum": 6197.88
        }
      ]
    },
    {
      "description": "BENZTROPINE 0.5 MG TABLET",
      "drug_information": {
        "unit": "1",
        "type": "UN"
      },
      "code_information": [
        {
          "code": "RX-998",
          "type": "CDM"
        },
        {
          "code": "63700001",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 4.85,
          "discounted_cash": 3.15,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
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              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
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              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.16
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.98
            },
            {
              "payer_name": "UHC [625]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.05
            },
            {
              "payer_name": "CIGNA [370]",
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              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3.92
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.05
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.07
            },
            {
              "payer_name": "AETNA [310]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "AETNA [310]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.02
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.05
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.05
            },
            {
              "payer_name": "ANTHEM [335]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.69
            },
            {
              "payer_name": "OSU [553]",
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              "standard_charge_percentage": 73,
              "estimated_amount": 3.54
            },
            {
              "payer_name": "OSU [553]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.54
            },
            {
              "payer_name": "FIRST HEALTH [408]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 4.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
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              "standard_charge_percentage": 82,
              "estimated_amount": 3.98
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.11
            },
            {
              "payer_name": "HEALTHREACH [540]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
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              "standard_charge_percentage": 64.9,
              "estimated_amount": 3.15
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.12
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 3.15
            },
            {
              "payer_name": "COFINITY [407]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.05
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.54
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.69
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.67
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.98
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.64
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3.92
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.69
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.12
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.16
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.54
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.69
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.11
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.98
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.98
            },
            {
              "payer_name": "AETNA [310]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 4.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 3.15
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 4.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.12
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 3.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.07
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 3.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 3.15
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.11
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.98
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.98
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.11
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.12
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.16
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.71
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.12
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.11
            }
          ]
        }
      ]
    },
    {
      "description": "ETHAMBUTOL 100 MG TABLET",
      "drug_information": {
        "unit": "1",
        "type": "UN"
      },
      "code_information": [
        {
          "code": "RX-9982",
          "type": "CDM"
        },
        {
          "code": "63700001",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 5.55,
          "discounted_cash": 3.61,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
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              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
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              "standard_charge_percentage": 64.9,
              "estimated_amount": 3.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.61
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.72
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.72
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4.16
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.61
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.05
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.08
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.72
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.72
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 3.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.24
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4.16
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 4.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.49
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.72
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4.49
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.56
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
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              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 5.55
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.08
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.51
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.49
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.72
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 3.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.55
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.72
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.05
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.49
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.56
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.49
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.49
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.61
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.49
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.05
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.72
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 3.61
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.56
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.6
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.72
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 3.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4.49
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.05
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.08
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 3.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 3.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 3.6
            }
          ]
        }
      ]
    },
    {
      "description": "CARTRIDGE 12MM 60 RELOAD BLUE",
      "code_information": [
        {
          "code": "SUP-ECR60B",
          "type": "CDM"
        },
        {
          "code": "27200232",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 399.17,
          "discounted_cash": 259.46,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 252.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 252.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 256.27
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 339.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 250.68
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 291.39
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 221.54
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 339.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 250.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 259.86
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 339.29
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 339.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 252.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 219.54
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 219.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 304.97
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 219.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 256.27
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 330.91
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 339.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 250.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 250.68
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 291.39
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 291.39
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 221.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 250.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 259.86
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 339.29
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 263.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 327.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 304.97
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 259.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 327.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 256.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 252.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 252.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 252.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 327.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 256.27
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 339.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 250.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 250.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 250.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 322.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 250.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 259.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 259.86
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 259.86
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 339.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 252.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 327.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 304.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 304.97
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 330.91
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 299.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 350.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 327.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 256.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 259.06
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 291.39
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 339.29
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 219.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 256.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 304.97
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 327.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 219.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 256.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 256.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 256.27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 322.93
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 291.39
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 299.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 250.68
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 108.97
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 339.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 350.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 327.32
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 351.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 252.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 327.32
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 339.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 259.06
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 259.46
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 299.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 250.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 256.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 256.27
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 330.91
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 219.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 256.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 250.68
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 399.17
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 259.86
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 221.54
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 221.54
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 339.29
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 219.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 304.97
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 250.68
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 291.39
            }
          ]
        }
      ]
    },
    {
      "description": "TACKER 15 LAPAROSCOPIC NON-ABSORB ENHANCED CAPSURE",
      "code_information": [
        {
          "code": "SUP-0113215",
          "type": "CDM"
        },
        {
          "code": "C1781",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 705,
          "discounted_cash": 458.25,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 461.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 578.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 451.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 451.91
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 584.45
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 599.25
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 528.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 430.05
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 599.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 450.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 430.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 430.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 570.35
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 458.96
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 570.35
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 192.47
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 705,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 578.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 578.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 451.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 451.91
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 705,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 705,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 705,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 514.65
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 705,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 599.25
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 599.25
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 458.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 430.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 450.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 430.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 458.96
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 391.28
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 705,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 599.25
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 599.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 578.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 451.91
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 705,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 705,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 705,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 618.29
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 387.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 451.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 538.62
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 705,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 430.05
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 514.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 578.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 578.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 705,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 705,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 705,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 705,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 705,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 461.78
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 387.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 387.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 538.62
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 705,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 705,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 705,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 430.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 430.05
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 391.28
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 465.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 461.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 578.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 387.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 451.91
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 705,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 461.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 461.78
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 391.28
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 705
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 430.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 430.05
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 514.65
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 391.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 387.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 387.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 451.91
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 599.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 461.78
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 387.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 451.91
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 584.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 450.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 450.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 599.25
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 599.25
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 599.25
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 514.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 528.75
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 705,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 618.29
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 599.25
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 514.65
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 599.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 430.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 430.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 451.91
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 705,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 620.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 461.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 538.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 538.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 451.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 430.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 458.96
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 458.96
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 705,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 599.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 458.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 528.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 461.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 578.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 451.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 538.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 538.62
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 705,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 584.45
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 705,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 705,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 514.65
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 599.25
            }
          ]
        }
      ]
    },
    {
      "description": "RING 160MM 5/8 SIDEKICK FREEDOM",
      "code_information": [
        {
          "code": "SUP-RR1658CE",
          "type": "CDM"
        },
        {
          "code": "27200232",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1470,
          "discounted_cash": 955.5,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 929.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1205.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 808.5
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1293.6
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1249.5
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 955.5
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1249.5
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 970.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 923.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 923.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 923.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1189.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1123.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 943.74
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1205.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 808.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 943.74
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1218.63
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1073.1
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1073.1
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 401.31
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1249.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1249.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 929.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 929.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1123.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 943.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1123.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 943.74
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1249.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 929.04
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1218.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 923.16
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1249.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 954.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 956.97
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1073.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1289.19
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 808.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 808.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1205.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 923.16
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 815.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 954.03
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1073.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 929.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1205.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 943.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1123.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 943.74
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1249.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 808.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 923.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 956.97
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 815.85
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1102.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 923.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 923.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1189.23
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 815.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 943.74
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1249.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 929.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1205.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1123.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 943.74
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1218.63
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1102.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 923.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 956.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 956.97
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1073.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 954.03
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1470
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 929.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1123.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1205.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 808.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 943.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 954.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 923.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 923.16
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1102.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1249.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1249.5
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1249.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1205.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 943.74
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1205.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 943.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 923.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 956.97
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1073.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 815.85
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1249.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 929.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 943.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 923.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1289.19
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 808.5
            }
          ]
        }
      ]
    },
    {
      "description": "STENT 5 X 200MM X 130CM SELF EXPANDING NITINOL INNOVA",
      "code_information": [
        {
          "code": "SUP-H74939293052030",
          "type": "CDM"
        },
        {
          "code": "C1876",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 8985,
          "discounted_cash": 5840.25,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 5885.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6864.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 5759.39
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 8985,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 8985,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 5480.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5849.24
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5849.24
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 7268.87
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6559.05
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7637.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 5885.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7367.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7367.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7367.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 5759.39
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 8985,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7637.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 7879.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 8985,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 8985,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 8985,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 7448.57
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7637.25
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 5840.25
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7637.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 5480.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 5741.42
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7637.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 5885.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 5759.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 5759.39
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7637.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 5885.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 5885.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7367.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7367.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7367.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 5759.39
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 8985,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 8985,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 5741.42
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 8985
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7637.25
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7637.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 5480.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 7268.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6864.54
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7637.25
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 7906.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4941.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6864.54
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 8985,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 6738.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 6738.75
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7637.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 5480.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5849.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4941.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 5759.39
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 7448.57
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 5885.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 7879.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 5759.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6864.54
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 7448.57
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 6738.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 5480.85
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6559.05
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 8985,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 5480.85
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7637.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4941.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 8985,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 8985,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 8985,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 8985,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7637.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7367.7
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 8985,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 1967.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 5480.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5849.24
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6559.05
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4986.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 5480.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 5480.85
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6559.05
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4986.68
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7637.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 5885.18
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4941.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7367.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 5759.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 5759.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 5741.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 5741.42
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5849.24
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6559.05
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4986.68
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7637.25
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 5930.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 5480.85
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 8985,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4941.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6864.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 5759.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 5759.39
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 8985,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4941.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 5759.39
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 8985,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 8985,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 8985,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 5480.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 5480.85
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6559.05
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 8985,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 5480.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4986.68
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 2452.91
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 8985,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4941.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6864.54
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 8985,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 5885.18
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 8985,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "SET 8-20FR DILATOR URETHRAL S-CURVE",
      "code_information": [
        {
          "code": "SUP-073701-CD",
          "type": "CDM"
        },
        {
          "code": "27200232",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 671.31,
          "discounted_cash": 436.35,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 424.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 430.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 421.58
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 570.61
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 503.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 421.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 421.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 437.02
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 570.61
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 550.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 424.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 430.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 430.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 421.58
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 372.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 435.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 437.02
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 436.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 430.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 430.98
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 570.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 424.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 430.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 588.74
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 550.47
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 369.22
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 503.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 424.27
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 550.47
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 369.22
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 543.09
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 490.06
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 372.58
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 570.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 435.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 421.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 435.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 437.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 512.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 430.98
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 556.52
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 556.52
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 570.61
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 550.47
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 550.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 430.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 421.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 543.09
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 490.06
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 372.58
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 570.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 421.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 424.27
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 550.47
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 550.47
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 369.22
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 556.52
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 671.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 421.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 437.02
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 570.61
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 503.48
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 443.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 550.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 512.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 512.88
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 372.58
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 570.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 421.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 435.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 421.58
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 490.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 424.27
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 369.22
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 369.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 512.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 430.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 430.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 424.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 588.74
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 369.22
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 369.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 512.88
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 570.61
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 590.75
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 490.06
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 570.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 437.02
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 490.06
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 490.06
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 183.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 424.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 430.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 512.88
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 570.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 421.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 421.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 421.58
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 570.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 430.98
            }
          ]
        }
      ]
    },
    {
      "description": "WIRE 1.8 X 385MM DRILL TIP ILIZAROV W/STOPPER",
      "code_information": [
        {
          "code": "SUP-71070369",
          "type": "CDM"
        },
        {
          "code": "27200232",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1314,
          "discounted_cash": 854.1,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 830.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 843.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 843.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 855.41
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 959.22
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1116.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 825.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 825.19
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 854.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 830.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 722.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1003.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 830.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1077.48
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1077.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 843.59
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1156.32
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 959.22
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 729.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 830.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 722.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1003.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 843.59
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1116.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 825.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 855.41
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 959.22
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 985.5
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1116.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 843.59
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1116.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 830.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 722.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 843.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1003.9
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1089.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 825.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 852.79
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 855.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 852.79
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 959.22
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1116.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1003.9
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 985.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1152.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1077.48
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 722.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 722.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 843.59
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1116.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 825.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 825.19
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 959.22
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 729.27
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 358.72
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 855.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1077.48
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1077.48
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1077.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1003.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1077.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 843.59
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 729.27
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1116.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 825.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 855.41
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 985.5
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 867.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1077.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 843.59
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1089.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 825.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1063.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1063.03
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 729.27
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1116.9
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 959.22
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1116.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 830.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 830.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 722.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 843.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 843.59
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1089.31
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1116.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 722.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 843.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 825.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 825.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 852.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 825.19
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1116.9
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1314
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1116.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 830.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1152.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 825.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 852.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 825.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1003.9
            }
          ]
        }
      ]
    },
    {
      "description": "PLATE 2.7MM 13HL RT LAT DSTL FIB VA-LCP STERL",
      "code_information": [
        {
          "code": "SUP-02.118.414S",
          "type": "CDM"
        },
        {
          "code": "C1713",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2961.84,
          "discounted_cash": 1925.2,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 1940.01
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2428.71
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2428.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 1898.54
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2961.84,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2961.84,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2221.38
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2517.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 1892.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 1806.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 1806.72
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 1925.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 1898.54
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2961.84,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 1940.01
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2428.71
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1629.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2262.85
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2961.84,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 1892.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 1806.72
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2162.14
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1643.82
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2961.84,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2961.84,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2517.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 1806.72
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2517.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 1940.01
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1629.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 1898.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 1898.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 1898.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2262.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 1806.72
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2396.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1928.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2262.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2428.71
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2961.84,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2961.84,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2961.84,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2396.13
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2517.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 1806.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 1806.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 1892.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 1806.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 1806.72
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2162.14
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2961.84
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2517.56
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2455.37
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2517.56
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1629.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 1898.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 1898.54
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2455.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 1806.72
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2162.14
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2162.14
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2162.14
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2517.56
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2517.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 1940.01
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2428.71
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2428.71
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2428.71
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2961.84,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2455.37
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2961.84,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 2606.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 1898.54
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2961.84,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2961.84,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2961.84,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1928.16
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1643.82
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2517.56
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2517.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1928.16
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2162.14
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2961.84,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1643.82
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1954.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 1940.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 1940.01
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1629.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2262.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2262.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2961.84,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1629.01
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1629.01
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2961.84,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 648.64
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2961.84,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2517.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 1806.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 1806.72
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2961.84,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2221.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 1806.72
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1928.16
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1643.82
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2961.84,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2428.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 1898.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2262.85
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2961.84,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2961.84,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2597.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 1898.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 1898.54
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2961.84,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2517.56
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2517.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1928.16
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 808.58
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2517.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 1892.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2597.53
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2221.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 1940.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 1940.01
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1629.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 1898.54
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2961.84,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "PLATE 2.7 X 58MM SM RT VA-LOCK CALCANEAL STERL",
      "code_information": [
        {
          "code": "SUP-02.211.400S",
          "type": "CDM"
        },
        {
          "code": "C1713",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2716.56,
          "discounted_cash": 1765.76,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 1779.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2227.58
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1494.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 1741.31
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2716.56,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1768.48
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1507.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 1657.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1768.48
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1494.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 1741.31
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2309.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 1741.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2716.56,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2716.56,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2309.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 1657.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1507.69
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1983.09
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 741.62
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2309.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 1779.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2227.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2227.58
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1494.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 1741.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2075.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2075.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 1741.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2075.45
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2716.56,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 1657.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 1657.1
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1983.09
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1507.69
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2716.56,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2716.56,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 1779.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2227.58
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1494.11
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1494.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 1741.31
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2252.03
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2716.56,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2716.56,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 1741.31
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 2390.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 1657.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1768.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1768.48
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1983.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 1735.88
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2037.42
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 1765.76
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2037.42
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2309.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 1779.35
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2309.08
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1494.11
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2716.56,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2716.56,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2309.08
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2309.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 1657.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 1657.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 1657.1
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2309.08
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2309.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2382.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2075.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 1779.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2227.58
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2716.56,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2716.56,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2252.03
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1983.09
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2309.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 1657.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1507.69
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2716.56,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2309.08
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2309.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2382.42
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 594.93
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2227.58
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2716.56,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2716.56,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 1735.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 1657.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2716.56
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2716.56,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2197.7
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1983.09
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2716.56,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 1779.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2227.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 1741.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 1741.31
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2037.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2227.58
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1494.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2075.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 1741.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 1741.31
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2252.03
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2716.56,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2716.56,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2716.56,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 1735.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 1657.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2197.7
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1983.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 1657.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 1735.88
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1792.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2075.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 1741.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2716.56,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2716.56,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2716.56,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2309.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 1657.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1768.48
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2309.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 1779.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 1779.35
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2716.56,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "PLATE 2.7 X 64MM MED RT VA-LOCK CALCANEAL STERL",
      "code_information": [
        {
          "code": "SUP-02.211.402S",
          "type": "CDM"
        },
        {
          "code": "C1713",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2736.72,
          "discounted_cash": 1778.87,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 1792.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 1754.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2090.85
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2736.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2736.72,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 1669.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 1669.4
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1997.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 1669.4
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2052.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 1754.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 1754.24
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2736.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2244.11
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2736.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2052.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 1748.76
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2326.21
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1806.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 1748.76
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1997.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 1792.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2090.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2736.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2268.74
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2736.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2736.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2244.11
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2268.74
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2736.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 1669.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1781.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1781.6
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 1778.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 1669.4
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2736.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2736.72,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 1792.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2400.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 1754.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 1754.24
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2736.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2268.74
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 599.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 1792.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2244.11
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2736.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2736.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2326.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 1669.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 1669.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2736.72
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2736.72,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2326.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 1748.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2214.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 1792.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2244.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 1754.24
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2736.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2326.21
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2326.21
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1505.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 1754.24
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1781.6
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2326.21
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2326.21
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2326.21
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1518.88
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1518.88
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 747.12
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2052.54
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1505.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 1754.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2090.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2090.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 1792.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1505.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 1754.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2090.85
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2736.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2326.21
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2326.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 1669.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1781.6
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1997.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2400.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1505.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 1754.24
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2736.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 1754.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 1669.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2214.01
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1518.88
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2326.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 1669.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 1669.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 1669.4
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1997.81
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1997.81
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1518.88
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2326.21
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2244.11
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2244.11
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1505.2
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2736.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2736.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2736.72,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2326.21
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2736.72,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2244.11
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2736.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 2408.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1781.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 1748.76
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2736.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2326.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 1792.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 1792.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1505.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 1754.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 1669.4
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1997.81
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2736.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2244.11
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1505.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2090.85
            }
          ]
        }
      ]
    },
    {
      "description": "PLATE 2.7 X 70MM LG RT VA-LOCK CALCANEAL",
      "code_information": [
        {
          "code": "SUP-02.211.404",
          "type": "CDM"
        },
        {
          "code": "C1713",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2630.88,
          "discounted_cash": 1710.07,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 1723.23
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1446.98
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2181
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 1604.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 1604.84
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2236.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1712.7
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1920.54
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1920.54
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2236.25
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2630.88,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2236.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2157.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 1686.39
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2630.88,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2630.88,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2630.88,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 1723.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 1723.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2157.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 1686.39
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2181
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 1604.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 1604.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 1604.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 1681.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2128.38
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2236.25
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2236.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 1686.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 1686.39
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1446.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2009.99
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2630.88,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2236.25
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1920.54
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1460.14
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2630.88,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 1710.07
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1446.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2009.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 1686.39
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2630.88,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2630.88,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2236.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2157.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1446.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2009.99
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2630.88,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2630.88,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 576.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 1681.13
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2630.88
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1460.14
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 718.23
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2236.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1446.98
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1446.98
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1446.98
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2630.88,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2236.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2009.99
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2630.88,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2630.88,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 1604.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 1604.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1712.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1712.7
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1460.14
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1973.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 1604.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 1604.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1712.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2128.38
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1920.54
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2630.88,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2236.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2157.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2157.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 1686.39
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2181
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2236.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2307.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2157.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 1686.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 1686.39
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2630.88,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2630.88,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1973.16
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1460.14
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2236.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 1723.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 1686.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 1686.39
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2630.88,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 1723.23
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2630.88,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2630.88,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1973.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 1604.84
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1920.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 1604.84
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1920.54
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2236.25
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2236.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 1723.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 1723.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 1686.39
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2630.88,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2157.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2157.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2009.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 1686.39
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2630.88,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 1604.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1712.7
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2630.88,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2630.88,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 1681.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 1723.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2009.99
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 2315.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 1681.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 1604.84
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1736.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2307.28
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2630.88,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "BIT 3.2 X 145MM DRILL 3-FLUTED QC RADIOLUCENT NEEDLE PT STER",
      "code_information": [
        {
          "code": "SUP-03.010.100S",
          "type": "CDM"
        },
        {
          "code": "27200232",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 635.04,
          "discounted_cash": 412.78,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 401.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 401.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 349.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 485.17
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 539.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 412.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 413.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 412.14
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 539.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 401.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 520.73
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 349.27
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 526.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 485.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 407.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 407.7
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 476.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 398.81
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 539.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 398.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 412.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 413.41
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 349.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 407.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 407.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 520.73
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 520.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 407.7
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 539.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 398.81
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 463.58
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 352.45
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 463.58
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 539.78
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 476.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 556.93
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 520.73
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 349.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 485.17
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 539.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 520.73
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 349.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 485.17
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 558.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 412.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 398.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 413.41
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 352.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 398.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 398.81
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 463.58
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 352.45
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 476.28
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 539.78
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 419.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 407.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 407.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 485.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 398.81
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 352.45
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 539.78
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 539.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 398.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 398.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 401.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 401.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 407.7
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 526.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 401.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 407.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 398.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 398.81
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 463.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 520.73
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 349.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 407.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 520.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 407.7
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 526.45
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 539.78
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 635.04
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 539.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 398.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 513.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 413.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 413.41
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 463.58
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 463.58
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 412.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 401.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 349.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 407.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 398.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 513.75
            },
            {
              "payer_name": "HEALTHSMART [493]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 539.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 485.17
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 173.37
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 401.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 556.93
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 520.73
            }
          ]
        }
      ]
    },
    {
      "description": "BIT 16MM FLEXIBLE CANN QC F/ DHS/DCS",
      "code_information": [
        {
          "code": "SUP-03.037.002",
          "type": "CDM"
        },
        {
          "code": "27200232",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2210.4,
          "discounted_cash": 1436.76,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1938.52
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1812.53
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1215.72
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1878.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 1388.13
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1458.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 1388.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1788.21
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1613.59
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1878.84
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1878.84
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1878.84
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1657.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1215.72
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1215.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1419.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1419.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1419.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 1388.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 1388.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 1388.13
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1878.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1812.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1396.97
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1812.53
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1215.72
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1215.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1419.08
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1878.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 1388.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 1388.13
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1613.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1396.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1688.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1688.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1396.97
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1812.53
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1812.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1419.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1419.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 1434.55
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1613.59
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1613.59
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1657.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1396.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1396.97
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1812.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1419.08
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1878.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 1388.13
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1613.59
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 1436.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 1388.13
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1226.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1688.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1688.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1419.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1396.97
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1812.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1419.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1688.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 1388.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 1388.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1438.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1438.97
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2210.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1226.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 1388.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 1388.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 1434.55
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1613.59
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1878.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1396.97
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1878.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1396.97
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1215.72
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1438.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1788.21
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1226.77
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 603.44
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1878.84
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1878.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1419.08
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1832.42
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1945.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1938.52
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1812.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1419.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1688.75
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1832.42
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1657.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1438.97
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1226.77
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1878.84
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1832.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 1434.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 1434.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1438.97
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1215.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1419.08
            }
          ]
        }
      ]
    },
    {
      "description": "PLATE 90DEG 3HL CONNECTING OFFSET",
      "code_information": [
        {
          "code": "SUP-03.311.023",
          "type": "CDM"
        },
        {
          "code": "27200232",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 250.5,
          "discounted_cash": 162.82,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 219.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 219.69
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 205.41
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 137.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 191.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 160.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 160.82
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 207.66
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 182.87
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 139.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 157.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 163.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 202.65
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 182.87
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 250.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 212.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 158.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 205.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 160.82
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 212.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 158.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 205.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 205.41
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 137.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 160.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 157.31
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 165.33
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 212.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 162.57
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 182.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 160.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 160.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 205.41
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 212.93
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 182.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 157.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 157.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 202.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 187.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 160.82
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 212.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 158.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 158.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 205.41
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 137.78
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 137.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 191.38
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 187.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 163.08
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 212.93
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 187.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 157.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 157.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 163.08
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 139.03
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 139.03
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 212.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 158.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 160.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 160.82
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 207.66
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 207.66
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 212.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 157.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 162.57
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 139.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 160.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 158.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 205.41
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 162.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 162.57
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 68.39
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 137.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 191.38
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 220.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 191.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 157.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 157.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 157.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 162.57
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 163.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 163.08
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 182.87
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 182.87
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 212.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 158.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 205.41
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 137.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 158.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 137.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 191.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 160.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 191.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 157.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 157.31
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 212.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 157.31
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 212.93
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 212.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 160.82
            }
          ]
        }
      ]
    },
    {
      "description": "PLATE 3.5 X 271MM 12HL RT PERIARTIC PROX HUM TI LCP",
      "code_information": [
        {
          "code": "SUP-04.123.030",
          "type": "CDM"
        },
        {
          "code": "C1713",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 4026,
          "discounted_cash": 2616.9,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 2637.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3301.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2214.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2214.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 2572.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2620.93
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4026,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3422.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 2455.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 2572.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2620.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 2637.03
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2214.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3075.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 2580.67
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4026,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4026,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 2637.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3301.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3075.86
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4026,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 2455.86
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2620.93
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2938.98
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 2657.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3301.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 2580.67
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4026,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4026,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4026,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3422.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 2637.03
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2214.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 2580.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 2580.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 2580.67
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3337.55
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 881.69
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4026,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3019.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3257.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2620.93
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2938.98
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3422.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3257.03
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2938.98
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3422.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2214.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 2580.67
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4026,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3075.86
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4026,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3422.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 2455.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 2455.86
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2938.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2234.43
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2234.43
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3422.1
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4026,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 2455.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 2637.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 2637.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3301.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 2580.67
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4026,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 3542.88
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2214.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3075.86
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4026,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4026,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4026,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 2455.86
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2234.43
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3422.1
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4026,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 2616.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 2580.67
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3337.55
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3422.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 2455.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 2455.86
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2938.98
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4026,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3422.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 2572.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 2455.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 2455.86
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1099.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 2580.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 2580.67
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4026,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4026,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 2637.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3301.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3075.86
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3422.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 2572.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 2455.86
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3422.1
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3422.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3301.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2214.3
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4026,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3337.55
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4026,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3301.32
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4026,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4026,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3019.5
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3019.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 2455.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 2455.86
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2620.93
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 4026
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2234.43
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3422.1
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3422.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3530.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 2637.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3301.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3075.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 2580.67
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2938.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3530.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 2580.67
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4026,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "PLATE 3.5 X 143MM 9HL RT POSTLAT DSTL HUM LCP STERL",
      "code_information": [
        {
          "code": "SUP-241.268S",
          "type": "CDM"
        },
        {
          "code": "C1713",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2796,
          "discounted_cash": 1817.4,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 1831.38
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2796,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2796,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2097
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 2460.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 1705.56
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2376.6
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2376.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 1786.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 1705.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1820.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2261.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 1831.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2292.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2292.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 1792.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2136.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 1792.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 1792.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2136.14
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2796,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2796,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2317.88
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2796,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2796,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 1792.24
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2376.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 1705.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1551.78
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1551.78
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2376.6
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2376.6
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2041.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2452.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2452.09
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1537.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2796,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2796,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 1831.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1537.8
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2317.88
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 612.32
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2376.6
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2041.08
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2041.08
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2796,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2376.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1820.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1820.2
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2041.08
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2796,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 763.31
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2376.6
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2097
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 1792.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2136.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 1792.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 1831.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 1705.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1820.2
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2376.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1537.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1537.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 1792.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1537.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2136.14
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2796,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2796,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2376.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 1705.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 1786.64
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2376.6
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2097
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 1786.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 1705.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 1705.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 1831.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 1792.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2136.14
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2796,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2292.72
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1537.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2796,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2796,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 1705.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 1705.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 1786.64
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2261.96
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2796
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2796,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2292.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2136.14
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2317.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 1831.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2292.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 1705.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1820.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1551.78
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1845.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 1705.56
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2796,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 1831.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2292.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 1792.24
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2796,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2292.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 1792.24
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2796,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2796,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2796,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2376.6
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2041.08
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 1817.4
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2041.08
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1551.78
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2796,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2376.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 1831.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2292.72
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1537.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 1792.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 1792.24
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2796,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2796,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 1705.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 1705.56
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2376.6
            }
          ]
        }
      ]
    },
    {
      "description": "PLATE 4.5 X 277MM 10HL PROX FEMUR HOOK LCP STERL",
      "code_information": [
        {
          "code": "SUP-242.124S",
          "type": "CDM"
        },
        {
          "code": "C1713",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 4111.5,
          "discounted_cash": 2672.47,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 2693.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3605.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3371.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 2635.47
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3494.78
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4111.5,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 2508.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 2627.25
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3494.78
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 2672.48
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3494.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 2635.47
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4111.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3083.63
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2261.33
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2261.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3141.19
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4111.5,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4111.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 2508.02
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3001.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 2508.02
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3001.4
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3494.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 2693.03
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4111.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4111.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2261.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 2635.47
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4111.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4111.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 2508.02
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2676.59
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3083.63
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4111.5,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 2508.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 2627.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 2508.02
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2676.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2676.59
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2281.88
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3083.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 2693.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3371.43
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3371.43
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 3618.12
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3494.78
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4111.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 900.42
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3494.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 2627.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 2508.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 2627.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3326.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3326.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 2508.02
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2281.88
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4111.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3494.78
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3494.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3371.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 2635.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3141.19
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3408.43
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4111.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 2635.47
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2676.59
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2281.88
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4111.5,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2261.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3141.19
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4111.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4111.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 2693.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 2693.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 2635.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 2635.47
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3001.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2281.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 2508.02
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3001.4
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4111.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1122.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 2693.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 2635.47
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4111.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 2693.03
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2261.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 2635.47
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4111.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4111.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 2508.02
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3001.4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3494.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 2508.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 2508.02
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3494.78
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 2713.59
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3494.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3371.43
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4111.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3408.43
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4111.5,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3494.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 2693.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3605.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3371.43
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2261.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 2635.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3141.19
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4111.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2676.59
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4111.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 4111.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3494.78
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3494.78
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2261.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3141.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3141.19
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4111.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3408.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 2508.02
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3001.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3371.43
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3371.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 2635.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 2635.47
            }
          ]
        }
      ]
    },
    {
      "description": "PLATE 3.5 X 119MM 6HL RT MEDIAL PROX TIBIA TI LCP",
      "code_information": [
        {
          "code": "SUP-439.956",
          "type": "CDM"
        },
        {
          "code": "C1713",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 3166.5,
          "discounted_cash": 2058.22,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 2074.06
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1741.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 2029.73
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2625.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 1931.57
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2061.39
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1757.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 2074.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2596.53
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2596.53
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3166.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2625.03
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3166.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1741.58
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3166.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3166.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2691.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2061.39
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2061.39
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3166.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 2058.23
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3166.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2691.53
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3166.5,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 2029.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 2029.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 1931.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 1931.57
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2311.55
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 3166.5
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2691.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 1931.57
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2061.39
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 864.45
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3166.5,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3166.5,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2777.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 2074.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2596.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2419.21
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3166.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3166.5,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2691.53
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2374.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 1931.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 1931.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 1931.57
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2311.55
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1757.41
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2691.53
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2691.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 1931.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 1931.57
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2311.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2596.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2419.21
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3166.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3166.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3166.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2777.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2596.53
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3166.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2691.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 1931.57
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2374.88
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2691.53
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 2089.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2561.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1741.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 2029.73
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3166.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 2074.06
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1741.58
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1741.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2419.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 2029.73
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3166.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2625.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2561.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2061.39
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3166.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2374.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 1931.57
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2311.55
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2691.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 2074.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 2074.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2596.53
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2596.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 2029.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 2029.73
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 693.46
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2691.53
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2596.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 2029.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 2029.73
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3166.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3166.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3166.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 2023.39
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1757.41
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2691.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 2023.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 2023.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2419.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 2029.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 2029.73
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3166.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3166.5,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2419.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2419.21
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 2786.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 1931.57
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1757.41
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2691.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 2023.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 1931.57
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2311.55
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2311.55
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2691.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 2074.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 2074.06
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1741.58
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3166.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2691.53
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1741.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 2029.73
            }
          ]
        }
      ]
    },
    {
      "description": "RING 160MM SHORT FOOT TI MR CONDITIONAL",
      "code_information": [
        {
          "code": "SUP-03.311.966",
          "type": "CDM"
        },
        {
          "code": "27200232",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2418,
          "discounted_cash": 1571.7,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1528.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1982.76
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1329.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 1569.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 1518.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 1518.5
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2055.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 1518.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1528.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1528.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1982.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1552.36
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1982.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 1518.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 1518.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2120.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1847.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1847.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1329.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1329.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1329.9
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1765.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 1518.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1956.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1574.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1847.35
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2004.52
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2055.3
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1813.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1982.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1552.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1847.35
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2055.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 1569.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 1569.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 1569.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1574.12
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1341.99
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2055.3
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1813.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1765.14
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1765.14
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2055.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1528.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1982.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1847.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1552.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1552.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1552.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 1518.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 1518.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1765.14
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 660.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1528.18
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1329.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1552.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1528.18
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1329.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1552.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1552.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1552.36
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 2127.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 1518.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2055.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 1518.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 1518.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1574.12
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2055.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1528.18
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1329.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1552.36
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2055.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1552.36
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1574.12
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1341.99
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2055.3
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1813.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 1518.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1574.12
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1765.14
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1765.14
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1341.99
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1982.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1847.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1552.36
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2004.52
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2004.52
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2055.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2120.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1528.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1982.76
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1341.99
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2055.3
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 1571.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1956.16
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2055.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 1518.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2418
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1595.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1982.76
            }
          ]
        }
      ]
    },
    {
      "description": "BIT 3.5MM DRILL HIGH SPEED STERL",
      "code_information": [
        {
          "code": "SUP-309.504S",
          "type": "CDM"
        },
        {
          "code": "27200232",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 532.5,
          "discounted_cash": 346.12,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 336.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 341.87
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 399.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 334.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 430.79
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 430.79
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 388.73
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 452.63
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 351.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 292.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 341.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 406.83
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 292.88
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 441.44
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 388.73
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 399.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 334.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 346.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 336.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 336.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 467
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 436.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 341.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 341.87
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 436.65
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 452.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 334.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 346.66
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 452.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 341.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 341.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 406.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 341.87
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 441.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 336.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 436.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 436.65
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 292.88
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 292.88
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 452.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 345.59
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 388.73
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 452.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 436.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 406.83
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 452.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 334.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 334.41
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 295.54
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 295.54
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 346.13
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 292.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 336.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 436.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 406.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 341.87
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 452.63
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 452.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 334.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 334.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 345.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 346.66
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 295.54
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 452.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 334.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 345.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 346.66
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 145.37
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 452.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 341.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 341.87
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 441.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 292.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 406.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 334.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 346.66
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 532.5
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 452.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 334.41
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 388.73
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 452.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 336.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 436.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 336.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 341.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 334.41
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 388.73
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 295.54
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 399.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 345.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 334.41
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 388.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 336.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 436.65
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 292.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 341.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 406.83
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 468.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 334.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 467
            }
          ]
        }
      ]
    },
    {
      "description": "BIT 3.2 X 215MM DRILL STERL 3 FLUTE QC 82MM CALIBRATION",
      "code_information": [
        {
          "code": "SUP-356.972S",
          "type": "CDM"
        },
        {
          "code": "27200232",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 571.83,
          "discounted_cash": 371.69,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
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              "standard_charge_percentage": 63.2,
              "estimated_amount": 361.4
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 474.05
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 428.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 359.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 359.11
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 417.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 359.11
            },
            {
              "payer_name": "CIGNA [370]",
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              "standard_charge_percentage": 80.9,
              "estimated_amount": 462.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
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              "standard_charge_percentage": 80.9,
              "estimated_amount": 462.61
            },
            {
              "payer_name": "ANTHEM [335]",
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              "standard_charge_percentage": 55.5,
              "estimated_amount": 317.37
            },
            {
              "payer_name": "MMO [485]",
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              "estimated_amount": 361.4
            },
            {
              "payer_name": "MMO [485]",
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            },
            {
              "payer_name": "HEALTHREACH [540]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 314.51
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
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              "standard_charge_percentage": 82.9,
              "estimated_amount": 474.05
            },
            {
              "payer_name": "MMO [485]",
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              "standard_charge_percentage": 63.2,
              "estimated_amount": 361.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
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              "standard_charge_percentage": 82,
              "estimated_amount": 468.9
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 367.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 367.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
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              "standard_charge_percentage": 64.9,
              "estimated_amount": 371.12
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 359.11
            },
            {
              "payer_name": "CIGNA [370]",
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              "standard_charge_percentage": 65.1,
              "estimated_amount": 372.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 359.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 361.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
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              "standard_charge_percentage": 82,
              "estimated_amount": 468.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
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              "standard_charge_percentage": 76.4,
              "estimated_amount": 436.88
            },
            {
              "payer_name": "AHPO [305]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 486.06
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 359.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
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              "standard_charge_percentage": 65.1,
              "estimated_amount": 372.26
            },
            {
              "payer_name": "CIGNA [370]",
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              "standard_charge_percentage": 65.1,
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            },
            {
              "payer_name": "HEALTHLINK [443]",
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              "standard_charge_percentage": 75,
              "estimated_amount": 428.87
            },
            {
              "payer_name": "SEORMC [545]",
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              "standard_charge_percentage": 66,
              "estimated_amount": 377.41
            },
            {
              "payer_name": "OSU [553]",
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              "standard_charge_percentage": 73,
              "estimated_amount": 417.44
            },
            {
              "payer_name": "PARAMOUNT [555]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 486.06
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
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              "standard_charge_percentage": 27.3,
              "estimated_amount": 156.11
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
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              "standard_charge_percentage": 82,
              "estimated_amount": 468.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 314.51
            },
            {
              "payer_name": "HEALTHREACH [540]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 314.51
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 367.11
            },
            {
              "payer_name": "IHG [492]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 486.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 359.11
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 359.11
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 486.06
            },
            {
              "payer_name": "HEALTHLINK [443]",
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              "standard_charge_percentage": 75,
              "estimated_amount": 428.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
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              "standard_charge_percentage": 63.2,
              "estimated_amount": 361.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
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              "standard_charge_percentage": 63.2,
              "estimated_amount": 361.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 501.49
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 314.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 436.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 367.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 501.49
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 372.26
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 417.44
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 317.37
            },
            {
              "payer_name": "PARAMOUNT [555]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 486.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
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              "standard_charge_percentage": 64.9,
              "estimated_amount": 371.12
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 317.37
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 486.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 361.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 468.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 468.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 314.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 436.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 367.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 367.11
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 486.06
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 314.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 367.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 367.11
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 486.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 371.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 359.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 372.26
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 317.37
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 486.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 359.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 359.11
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 371.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 367.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 367.11
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 571.83
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 486.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 371.12
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 417.44
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 486.06
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 486.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 436.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 436.88
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 314.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 367.11
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 474.05
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 417.44
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 417.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 359.11
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 468.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 468.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 468.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 359.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 367.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 436.88
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 503.21
            }
          ]
        }
      ]
    },
    {
      "description": "BAG 8 X 125ML TISSUE RETRIEVAL SYSTEM ANCHOR",
      "code_information": [
        {
          "code": "SUP-TRSROBO8",
          "type": "CDM"
        },
        {
          "code": "27200232",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 238.2,
          "discounted_cash": 154.83,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 150.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 150.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 195.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 181.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 152.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 149.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 155.07
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 65.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 149.59
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 195.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 195.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 152.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 152.92
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 202.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 149.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 155.07
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 173.89
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 178.65
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 202.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 150.54
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 131.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 152.92
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 209.62
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 131.01
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 131.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 152.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 181.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 152.92
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 197.47
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 202.47
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 202.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 149.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 149.59
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 195.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 152.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 152.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 152.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 208.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 195.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 131.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 181.98
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 202.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 149.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 192.7
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 173.89
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 173.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 149.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 149.59
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 202.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 181.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 150.54
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 131.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 152.92
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 197.47
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 178.65
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 157.21
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 173.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 150.54
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 202.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 150.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 149.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 149.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 149.59
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 132.2
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 202.47
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 195.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 181.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 152.92
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 197.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 154.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 154.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 154.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 154.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 155.07
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 192.7
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 202.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 149.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 155.07
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 155.07
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 173.89
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 132.2
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 202.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 150.54
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 131.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 149.59
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 238.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 132.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 132.2
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 202.47
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 154.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 208.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 195.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 152.92
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 178.65
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 173.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 150.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 195.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 131.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 181.98
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 202.47
            }
          ]
        }
      ]
    },
    {
      "description": "LINER 48 X 28MM 10DEG OBLIQUE TM REV LONGEVITY",
      "code_information": [
        {
          "code": "SUP-00-7110-048-28",
          "type": "CDM"
        },
        {
          "code": "C1776",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 5395.89,
          "discounted_cash": 3507.33,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 3534.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4122.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 3458.77
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4046.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 3291.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 3291.49
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 5395.89
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4586.51
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5395.89,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 3291.49
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4586.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 3458.77
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5395.89,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 3534.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 3458.77
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5395.89,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5395.89,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 3291.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 3291.49
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3939
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3939
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2994.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 3291.49
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3939
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2994.72
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4586.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 3534.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 3534.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4732.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 3458.77
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5395.89,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 3534.31
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4424.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4122.46
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5395.89,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5395.89,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 3291.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 3291.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 3291.49
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3512.72
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3939
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 3291.49
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5395.89,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5395.89,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4046.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2967.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 3458.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 3458.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 3458.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4122.46
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5395.89,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 3447.97
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 3447.97
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1473.08
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4046.92
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 3507.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 3534.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4732.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4424.63
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2967.74
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5395.89,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4473.19
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4586.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 3458.77
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5395.89,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4473.19
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2994.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 3291.49
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4424.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4424.63
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2967.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 3458.77
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4586.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4424.63
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2967.74
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2967.74
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5395.89,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5395.89,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4365.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3512.72
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3939
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3939
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2994.72
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4586.51
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4586.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 3447.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3512.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4424.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4122.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 3458.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 3458.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 3534.31
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5395.89,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5395.89,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3512.72
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5395.89,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5395.89,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4365.28
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4586.51
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4586.51
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4586.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 3534.31
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2967.74
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 4748.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4424.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4424.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4122.46
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5395.89,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4586.51
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5395.89,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4586.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 3291.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 3447.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3512.72
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4586.51
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 3561.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 3291.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 3458.77
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5395.89,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4473.19
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5395.89,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5395.89,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 1181.7
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4586.51
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2967.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4122.46
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5395.89,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Phototherapy per Day",
      "code_information": [
        {
          "code": "PX-27100019",
          "type": "CDM"
        },
        {
          "code": "27100019",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 339,
          "discounted_cash": 220.35,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 214.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 277.98
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 186.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 259
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 212.89
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 247.47
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 288.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 217.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 217.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 217.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 212.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 212.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 212.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 274.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 220.69
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 247.47
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 220.35
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 288.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 297.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 214.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 277.98
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 277.98
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 277.98
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 186.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 212.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 220.01
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 247.47
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 188.15
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 92.55
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 288.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 217.64
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 220.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 214.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 217.64
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 220.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 259
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 259
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 212.89
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 186.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 274.25
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 288.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 212.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 212.89
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 288.15
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 254.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 186.45
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 281.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 214.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 297.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 277.98
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 186.45
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 298.32
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 254.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 212.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 212.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 220.01
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 288.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 217.64
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 220.69
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 288.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 214.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 277.98
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 186.45
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 288.15
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 254.25
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 223.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 217.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 220.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 220.01
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 188.15
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 188.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 277.98
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 186.45
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 288.15
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 288.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 259
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 217.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 217.64
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 247.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 217.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 217.64
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 247.47
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 288.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 214.25
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 281.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 214.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 277.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 259
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 217.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 212.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 220.69
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 247.47
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 339
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 288.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 259
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 188.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 214.25
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 281.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 212.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 212.89
            }
          ]
        }
      ]
    },
    {
      "description": "HC Heliox Therapy per 12 Hrs",
      "code_information": [
        {
          "code": "PX-27100024",
          "type": "CDM"
        },
        {
          "code": "27100024",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 451,
          "discounted_cash": 293.15,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 285.03
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 248.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 292.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 293.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 250.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 344.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 289.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 344.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 283.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 283.23
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 451
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 338.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 285.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 285.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 369.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 248.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 248.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 248.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 344.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 289.54
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 329.23
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 338.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 344.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 292.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 283.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 283.23
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 329.23
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 329.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 395.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 285.03
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 396.88
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 248.05
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 373.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 283.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 289.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 289.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 289.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 292.7
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 297.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 285.03
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 373.88
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 383.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 283.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 293.6
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 329.23
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 329.23
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 250.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 292.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 283.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 364.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 285.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 369.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 369.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 369.82
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 383.35
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 383.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 289.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 289.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 289.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 283.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 283.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 283.23
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 250.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 289.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 364.86
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 383.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 395.53
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 373.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 289.54
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 338.25
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 383.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 283.23
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 250.31
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 293.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 369.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 248.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 344.56
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 383.35
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 123.12
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 383.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 344.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 293.6
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 383.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 285.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 369.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 248.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 285.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 369.82
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 383.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 289.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 289.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 283.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 283.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 293.6
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 329.23
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 383.35
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 383.35
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 293.6
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 383.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 369.82
            }
          ]
        }
      ]
    },
    {
      "description": "\"Foam Drsg Adhesive Biatain 6\"\" X 6\"\" W/ 4.2\"\" X 4.2\"\" Pad\"",
      "code_information": [
        {
          "code": "PX-CH-CO3437",
          "type": "CDM"
        },
        {
          "code": "A6213",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 20.53,
          "discounted_cash": 13.34,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 12.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 12.97
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.18
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 16.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 16.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 13.37
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 14.99
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 11.39
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 15.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 13.37
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 16.83
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 20.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 16.83
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 16.83
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 20.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 15.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 13.37
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 14.99
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 18
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.29
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 20.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 20.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 17.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 14.99
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.45
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 15.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 12.97
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 16.83
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.29
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.29
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.29
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 20.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 20.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.18
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 11.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 13.37
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 13.37
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 20.53,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.29
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 20.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 18
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.29
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 20.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 18.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.18
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 20.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 12.97
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 20.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 16.83
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 20.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 20.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 11.39
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 20.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 20.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 15.4
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 15.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 14.99
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 15.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 12.97
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 20.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 20.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 17.02
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 20.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.45
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 15.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 12.97
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 16.83
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 16.83
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.29
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 20.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 15.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.18
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 14.99
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.45
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 20.53,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 15.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 20.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 5.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 12.97
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 14.99
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.18
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 20.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 13.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 12.97
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 17.02
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 20.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.18
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 11.39
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 20.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 16.83
            }
          ]
        }
      ]
    },
    {
      "description": "Straight Cath Kit 12 Fr Touchless Plus",
      "code_information": [
        {
          "code": "PX-CH-BA4A6142",
          "type": "CDM"
        },
        {
          "code": "A4353",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 3.83,
          "discounted_cash": 2.49,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.14
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.11
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.49
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.49
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.8
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.26
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3.83,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3.83,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.93
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.11
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 3.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.11
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3.18
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.11
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.8
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.42
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.14
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.49
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3.36
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.14
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.11
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3.1
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.8
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.8
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2.87
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.26
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 3.37
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.14
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.8
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.46
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3.36
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3.18
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.26
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 2.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.49
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.14
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.49
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.26
            }
          ]
        }
      ]
    },
    {
      "description": "HC Fsed Bicarbonate",
      "code_information": [
        {
          "code": "PX-30101227",
          "type": "CDM"
        },
        {
          "code": "82374",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 9,
          "discounted_cash": 5.85,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 4.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 4.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.95
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 4.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.3,
              "estimated_amount": 18.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.04,
              "estimated_amount": 8.04
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 4.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 4.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.38
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 4.88,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 5.12,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 4.88,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 5.12,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.3,
              "estimated_amount": 18.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.3,
              "estimated_amount": 18.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.3,
              "estimated_amount": 18.3
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.65
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.15,
              "estimated_amount": 7.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.38
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 9,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 4.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 4.05
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 4.88,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 5.12,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.04,
              "estimated_amount": 8.04
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.19,
              "estimated_amount": 4.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.04,
              "estimated_amount": 8.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.3,
              "estimated_amount": 18.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.3,
              "estimated_amount": 18.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.3,
              "estimated_amount": 18.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 4.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 4.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 4.88,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 4.93,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 4.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.38
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.88,
              "estimated_amount": 4.88
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.88,
              "estimated_amount": 4.88
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 4.88,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 4.93,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 4.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.57
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.19,
              "estimated_amount": 4.19
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.04,
              "estimated_amount": 8.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.04,
              "estimated_amount": 8.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.04,
              "estimated_amount": 8.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.73,
              "estimated_amount": 7.73
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.19,
              "estimated_amount": 4.19
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.65
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 5.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 4.88,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 4.93,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 4.88,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 4.93,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 9,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.38
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.88,
              "estimated_amount": 4.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.04,
              "estimated_amount": 8.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.3,
              "estimated_amount": 18.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 4.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.04,
              "estimated_amount": 8.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.73,
              "estimated_amount": 7.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.3,
              "estimated_amount": 18.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.3,
              "estimated_amount": 18.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.3,
              "estimated_amount": 18.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 4.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 4.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.57
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 4.88,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 4.88,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 25,
              "estimated_amount": 2.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 4.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.95
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 7.92
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.73,
              "estimated_amount": 7.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.73,
              "estimated_amount": 7.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.3,
              "estimated_amount": 18.3
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.65
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.04,
              "estimated_amount": 8.04
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.65
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.65
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.95
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.88,
              "estimated_amount": 4.88
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.65
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.65
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 6.75
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 4.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 4.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.95
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 9,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.04,
              "estimated_amount": 8.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.3,
              "estimated_amount": 18.3
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.57
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.57
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.57
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.19,
              "estimated_amount": 4.19
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 4.88,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 4.88,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.73,
              "estimated_amount": 7.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.3,
              "estimated_amount": 18.3
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.57
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.95
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 4.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.88,
              "estimated_amount": 4.88
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.88,
              "estimated_amount": 4.88
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.88,
              "estimated_amount": 4.88
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.15,
              "estimated_amount": 7.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.04,
              "estimated_amount": 8.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.73,
              "estimated_amount": 7.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.3,
              "estimated_amount": 18.3
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.65
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 6.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 4.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.65
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 5.85
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 6.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.38
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 4.88,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 4.93,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 4.88,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 5.12,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.04,
              "estimated_amount": 8.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.3,
              "estimated_amount": 18.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.3,
              "estimated_amount": 18.3
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 4.88,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 4.88,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.65
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.15,
              "estimated_amount": 7.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 4.05
            }
          ],
          "minimum": 4.19,
          "maximum": 18.3
        }
      ]
    },
    {
      "description": "Foam Drsg Ag Non-Adhesive Mepilex 4 in X 8 In",
      "code_information": [
        {
          "code": "PX-CH-SM287200",
          "type": "CDM"
        },
        {
          "code": "A6209",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 34.98,
          "discounted_cash": 22.74,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 22.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 30.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 28.68
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19.24
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 34.98,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 34.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 25.54
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 25.54
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 26.24
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 22.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 22.77
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 28.68
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 34.98,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 28.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 22.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 34.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 34.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 34.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 22.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 22.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 26.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 22.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 34.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 34.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 34.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 34.98,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 29.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 22.11
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19.24
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 34.98,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 26.24
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 22.77
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 34.98,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 29.73
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 26.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 26.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 26.72
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 25.54
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 34.98,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 29.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 22.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 22.11
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 28.68
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 34.98,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 22.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 34.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 34.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 29.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 34.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 34.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 29.73
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 28.68
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 22.11
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 22.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 22.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 34.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 34.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 22.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 28.3
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 9.55
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 34.98,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 29.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 22.46
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 25.54
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 34.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 19.41
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 23.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 30.68
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19.24
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 29.73
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 28.68
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 29
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 34.98,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 34.98,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 22.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 34.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 34.98,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 25.54
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 19.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 22.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 26.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 34.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 19.41
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 34.98,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 28.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 28.68
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19.24
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 34.98,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 22.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 22.11
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 34.98,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 34.98,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 30.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 34.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 34.98,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 29.73
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 29.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 34.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19.24
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 34.98,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 34.98,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 34.98,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 22.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 26.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 22.46
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 25.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 22.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 22.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 28.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 19.41
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 34.98,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 34.98,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 29.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 26.72
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 29.73
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 34.98,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 29
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 34.98,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 29.73
            }
          ]
        }
      ]
    },
    {
      "description": "Barrier Skin Stomahesive 8 in X 8 In",
      "code_information": [
        {
          "code": "PX-CH-CV0217-15",
          "type": "CDM"
        },
        {
          "code": "A5122",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 23.91,
          "discounted_cash": 15.54,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 20.97
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13.15
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 20.32
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 17.93
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 21.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 15.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 15.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 15.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 20.32
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 19.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 15.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 15.11
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 19.61
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 19.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 15.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 15.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 18.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 15.57
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 17.45
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 17.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 13.27
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 15.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 20.97
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 15.57
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 17.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 13.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 18.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 20.32
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 20.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 15.11
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 19.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 19.61
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 15.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 18.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 17.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 13.27
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 23.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 15.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 15.35
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 20.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 15.11
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 19.61
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 15.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 15.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 17.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 18.27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 19.34
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 20.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 19.61
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 19.61
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 20.32
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 20.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 19.34
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 13.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 15.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 15.35
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 15.57
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 15.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 15.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 15.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 18.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 20.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 18.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 17.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 15.11
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 19.61
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13.15
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 20.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 15.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 15.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 23.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 17.45
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 6.53
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 17.93
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 20.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 19.61
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 19.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 15.57
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 20.32
            }
          ]
        }
      ]
    },
    {
      "description": "Inner Cannula Disposable Shiley 6 Fenestrated",
      "code_information": [
        {
          "code": "PX-CH-2M6DICFEN",
          "type": "CDM"
        },
        {
          "code": "A4623",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 6.37,
          "discounted_cash": 4.14,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.22
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.5
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.09
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.54
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4.15
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 6.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.03
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 5.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.22
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 5.28
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.87
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.22
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 5.15
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.65
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.41
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1.74
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.09
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.41
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.65
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 4.14
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 5.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.54
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.41
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4.78
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.87
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.03
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 5.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.5
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 5.15
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4.15
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 5.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.65
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.54
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 4.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4.09
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.65
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.41
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 5.61
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4.78
            }
          ]
        }
      ]
    },
    {
      "description": "Deodorizer M-9 Drop 8 Oz",
      "code_information": [
        {
          "code": "PX-CH-HO7717",
          "type": "CDM"
        },
        {
          "code": "A4394",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 17.24,
          "discounted_cash": 11.21,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 14.14
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 12.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 11.07
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 11.22
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 13.95
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 9.57
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 15.17
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 14.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 13.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 9.57
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 11.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 11.22
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 17.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 14.14
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 14.14
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9.48
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 14.29
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 12.93
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 11.38
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12.59
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 9.57
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 15.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 15.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 13.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12.59
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.65
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.65
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 13.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 12.93
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 14.29
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 14.14
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9.48
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 11.22
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 9.57
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 14.14
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9.48
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 14.14
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 11.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 11.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 11.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 11.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 11.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 11.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 11.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 11.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 13.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 13.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 11.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 13.95
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 14.14
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9.48
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 11.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 13.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 11.22
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12.59
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12.59
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 4.71
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 11.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 11.07
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.65
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 14.14
            }
          ]
        }
      ]
    },
    {
      "description": "Support Lumbar Sacral Off the Shelf",
      "code_information": [
        {
          "code": "PX-27400049",
          "type": "CDM"
        },
        {
          "code": "L0628",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 70,
          "discounted_cash": 45.5,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 45.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 38.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 44.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 44.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 42.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 44.73
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 38.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 45.57
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 56.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 61.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 57.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 38.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 45.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 57.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 38.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 42.7
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 51.1
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 46.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 44.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 53.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 42.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 38.5
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 59.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 45.85
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 58.03
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 38.85
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 59.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 44.73
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 45.57
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 56.63
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 70
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 61.39
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 38.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 45.85
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 59.5
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 59.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 44.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 44.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 53.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 53.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 42.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 42.7
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 38.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 44.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 44.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 42.7
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 59.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 57.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 53.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 42.7
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 59.5
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 59.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 42.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 45.57
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 45.57
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 45.57
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 19.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 45.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 45.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 45.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 57.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 38.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 42.7
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 45.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 53.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 53.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 44.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 44.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 42.7
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 51.1
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 59.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 45.85
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 59.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 44.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 42.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 44.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 42.7
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 51.1
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 51.1
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 51.1
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 59.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 44.87
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 38.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 59.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 59.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 57.4
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 61.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 57.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 42.7
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 51.1
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 52.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 44.87
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 52.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 57.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 38.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 44.87
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 57.4
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 58.03
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 58.03
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 52.5
            }
          ]
        }
      ]
    },
    {
      "description": "Brace Fracture Humeral Pf W/Adj No Off the Shelf",
      "code_information": [
        {
          "code": "PX-27400053",
          "type": "CDM"
        },
        {
          "code": "L3980",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1191,
          "discounted_cash": 774.15,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1191,
              "additional_payer_notes": "INFUSION"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 414.27,
              "estimated_amount": 414.27
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 414.27,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 434.98,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1191,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 963.52
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 869.43
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 869.43
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 869.43
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 414.27,
              "estimated_amount": 414.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 764.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1191,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1191,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1191,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1191,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1191,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 775.34
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 661.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1191,
              "additional_payer_notes": "INFUSION"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 414.27,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 418.41,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 414.27,
              "estimated_amount": 414.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1191,
              "additional_payer_notes": "INFUSION"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1191,
              "additional_payer_notes": "INFUSION"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1191,
              "additional_payer_notes": "INFUSION"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1191,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 775.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 764.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 764.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 764.62
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 414.27,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 418.41,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 414.27,
              "estimated_amount": 414.27
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 414.27,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 434.98,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 764.62
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 661.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1191,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 414.27,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 414.27,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 414.27,
              "estimated_amount": 414.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 764.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1191,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 775.34
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 414.27,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 414.27,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1191,
              "additional_payer_notes": "INFUSION"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1191,
              "additional_payer_notes": "INFUSION"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 414.27,
              "estimated_amount": 414.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 764.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1191,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1191,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 869.43
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 661.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 775.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1191,
              "additional_payer_notes": "INFUSION"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 414.27,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 418.41,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1191,
              "additional_payer_notes": "INFUSION"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 414.27,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 434.98,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 764.62
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 869.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1191,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 869.43
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 987.34
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 987.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1191,
              "additional_payer_notes": "INFUSION"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 414.27,
              "estimated_amount": 414.27
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 260.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1191,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 661.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 764.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1191,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 775.34
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 414.27,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 414.27,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 414.27,
              "estimated_amount": 414.27
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 414.27,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 434.98,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 414.27,
              "estimated_amount": 414.27
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 414.27,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 418.41,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 764.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 764.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1191,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1191,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1191,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 963.52
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 414.27,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 418.41,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 764.62
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 987.34
            }
          ],
          "minimum": 414.27,
          "maximum": 414.27
        }
      ]
    },
    {
      "description": "2 Pc Pouch 2 1/4 in New Image Lock & Roll Closure",
      "code_information": [
        {
          "code": "PX-CH-HO18183",
          "type": "CDM"
        },
        {
          "code": "A4425",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2.24,
          "discounted_cash": 1.46,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.86
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.84
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.71
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.24
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.84
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.84
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.24
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.9
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.68
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1.81
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.61
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.84
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.84
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.86
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.84
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.24
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2.24
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.24
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.9
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.84
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.86
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.9
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1.97
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.24,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 1.68,
          "discounted_cash": 1.09,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.38
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.68,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.68,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.68,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1.48
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.68,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.68,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.68,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.43
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.68,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.68,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.06
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.68,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.43
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.38
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.68,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.68,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.26
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.68,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.68,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1.68
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.68,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1.68,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1.47
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.38
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.68,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.68,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.43
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.38
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.68,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.68,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.68,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.26
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.68,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.43
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.43
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.68,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.26
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1.68,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.68,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.68,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.68,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.68,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.68,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.68,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.68,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.06
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.68,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.68,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.68,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.68,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.68,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.68,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.68,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.68,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.68,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.68,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1.47
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.68,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.68,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.68,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.68,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.68,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.68,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1.36
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.43
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.68,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.68,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.68,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.68,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.39
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.68,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.39
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.68,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1.47
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.68,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.68,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.68,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.68,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1.36
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1.36
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.43
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.68,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1.68,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.26
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.68,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.68,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.39
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.38
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.68,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.39
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.39
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.68,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.68,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.43
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.68,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.68,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.68,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.68,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1.68
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1.68,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.06
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.68,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.68,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1.36
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.68,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.68,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.68,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.43
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.43
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.38
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.68,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.68,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.68,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.68,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.68,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.68,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.68,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.23
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.06
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.92
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 2.74,
          "discounted_cash": 1.78,
          "payers_information": [
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.51
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.78
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.33
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.52
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.33
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2.74,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.33
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.51
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.78
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.33
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.78
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1.81
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.25
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2.74,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.51
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.51
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.52
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2.74
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.33
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.78
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.51
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.51
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.09
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.25
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 2.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.25
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2.27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2.22
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.52
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.09
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.78
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.33
            }
          ]
        }
      ]
    },
    {
      "description": "HC Brachytherapy Source I 125 Stranded per Source",
      "code_information": [
        {
          "code": "PX-27800116",
          "type": "CDM"
        },
        {
          "code": "C2638",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 76,
          "discounted_cash": 49.4,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 49.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 66.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 49.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 46.36
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 55.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 48.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 48.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 48.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 48.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 49.48
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 64.6
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 64.6
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 57
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 49.78
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 41.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 46.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 46.36
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 42.18
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 64.6
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 50.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 48.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 48.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 48.72
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 61.48
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 55.48
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 62.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 58.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 48.72
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 42.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 49.78
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 66.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 49.78
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 41.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 46.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 48.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 61.48
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 48.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 46.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 46.36
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 20.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 49.78
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 64.6
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 57
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 49.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 49.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 62.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 62.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 41.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 41.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 41.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 48.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 46.36
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 55.48
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 42.18
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 64.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 48.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 46.36
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 55.48
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 64.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 62.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 66.65
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 58.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 46.36
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 49.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 49.48
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 64.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 48.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 48.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 49.48
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 55.48
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 55.48
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 64.6
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 49.4
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 64.6
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 58.06
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 42.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 62.32
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 64.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 62.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 62.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 62.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 41.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 58.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 58.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 46.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 46.36
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 46.36
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 49.48
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 48.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 58.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 48.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 46.36
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 64.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 41.8
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 64.6
            }
          ]
        }
      ]
    },
    {
      "description": "HC Smear Nasal Eosinophils",
      "code_information": [
        {
          "code": "PX-30000039",
          "type": "CDM"
        },
        {
          "code": "89190",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 250,
          "discounted_cash": 162.5,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 158
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 207.25
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 212.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 160.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.71,
              "estimated_amount": 21.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.71,
              "estimated_amount": 21.71
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 138.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 160.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.71,
              "estimated_amount": 21.71
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 212.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 219.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 205
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 137.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 160.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 191
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 191
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.71,
              "estimated_amount": 21.71
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 138.75
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 212.5
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 162.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 158
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 137.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 137.5
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 212.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.71,
              "estimated_amount": 21.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.71,
              "estimated_amount": 21.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.71,
              "estimated_amount": 21.71
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 138.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 160.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 191
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.71,
              "estimated_amount": 21.71
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 162.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 162.75
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 212.5
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 187.5
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 165
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 205
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 212.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 158
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 137.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 160.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.71,
              "estimated_amount": 21.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 191
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.71,
              "estimated_amount": 21.71
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 138.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 205
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 205
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 187.5
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 212.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 160.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 160.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.71,
              "estimated_amount": 21.71
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 162.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 250
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 160.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.71,
              "estimated_amount": 21.71
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 182.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 182.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 182.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 182.5
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 212.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 158
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 137.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 205
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 137.5
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 220
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 191
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 162.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 158
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 205
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 207.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 158
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 137.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 160.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 202.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 202.25
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 187.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 160.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.71,
              "estimated_amount": 21.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.71,
              "estimated_amount": 21.71
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 212.5
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 212.5
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 212.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 219.25
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 207.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 158
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 158
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 191
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.71,
              "estimated_amount": 21.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.71,
              "estimated_amount": 21.71
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 182.5
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 68.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 160.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 162.75
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 182.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 212.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 205
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 160.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.71,
              "estimated_amount": 21.71
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 205
            }
          ],
          "minimum": 21.71,
          "maximum": 21.71
        }
      ]
    },
    {
      "description": "Foam Drsg Adhesive Border Mepilex Lite 3 in X 3 In",
      "code_information": [
        {
          "code": "PX-CH-SM281200",
          "type": "CDM"
        },
        {
          "code": "A6212",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 4.72,
          "discounted_cash": 3.07,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.98
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.07
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.07
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.01
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.01
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4.72,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.87
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3.91
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.07
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.01
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4.72,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.98
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3.91
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.98
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.87
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.87
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.98
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.01
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 4.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3.82
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.62
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.61
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.01
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.01
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.62
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.87
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.62
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.07
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.62
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.87
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3.91
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.87
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.45
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.45
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.54
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3.82
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 4.72
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.01
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 3.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.87
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.07
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.54
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.98
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.87
            }
          ]
        }
      ]
    },
    {
      "description": "Tay-Sachs Mutation Analysis Sendout",
      "code_information": [
        {
          "code": "PX-30100068",
          "type": "CDM"
        },
        {
          "code": "81255",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 837,
          "discounted_cash": 544.05,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 528.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 528.98
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 686.34
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 711.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 639.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 192.94,
              "estimated_amount": 192.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 677.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 537.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 537.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 192.94,
              "estimated_amount": 192.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 192.94,
              "estimated_amount": 192.94
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 611.01
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 464.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 686.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 686.34
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 693.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 639.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 192.94,
              "estimated_amount": 192.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 639.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 537.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 192.94,
              "estimated_amount": 192.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 544.89
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 711.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 528.98
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 460.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 460.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 528.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 528.98
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 460.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 192.94,
              "estimated_amount": 192.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 677.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 544.89
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 711.45
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 552.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 639.47
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 711.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 686.34
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 736.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 537.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 192.94,
              "estimated_amount": 192.94
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 544.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 537.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 686.34
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 711.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 528.98
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 460.35
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 693.87
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 711.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 537.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 192.94,
              "estimated_amount": 192.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 544.89
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 464.54
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 711.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 537.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 192.94,
              "estimated_amount": 192.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 192.94,
              "estimated_amount": 192.94
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 464.54
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 464.54
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 711.45
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 711.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 734.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 528.98
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 686.34
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 693.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 192.94,
              "estimated_amount": 192.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 192.94,
              "estimated_amount": 192.94
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 611.01
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 611.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 192.94,
              "estimated_amount": 192.94
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 460.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 460.35
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 711.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 639.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 192.94,
              "estimated_amount": 192.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 544.89
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 611.01
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 711.45
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 711.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 537.35
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 544.89
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 611.01
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 686.34
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 460.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 537.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 537.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 537.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 192.94,
              "estimated_amount": 192.94
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 611.01
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 228.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 537.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 192.94,
              "estimated_amount": 192.94
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 837
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 734.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
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              "standard_charge_percentage": 63.2,
              "estimated_amount": 528.98
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 76.4,
              "estimated_amount": 639.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 192.94,
              "estimated_amount": 192.94
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
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              "standard_charge_percentage": 75,
              "estimated_amount": 627.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 627.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 686.34
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 627.75
            }
          ],
          "minimum": 192.94,
          "maximum": 192.94
        }
      ]
    },
    {
      "description": "Familial Dysautonomia Mutation Sendout",
      "code_information": [
        {
          "code": "PX-30100071",
          "type": "CDM"
        },
        {
          "code": "81260",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1128,
          "discounted_cash": 733.2,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 712.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 712.9
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 992.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 724.18
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 724.18
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 823.44
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 823.44
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 823.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 989.26
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 958.8
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 958.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 924.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 935.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 724.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 724.18
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 734.33
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 958.8
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 733.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 861.79
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 734.33
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1128
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 924.96
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 958.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 861.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 724.18
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 912.55
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 626.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 861.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 147.41,
              "estimated_amount": 147.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 147.41,
              "estimated_amount": 147.41
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 620.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 620.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 924.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 620.4
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 846
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 861.79
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 912.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 147.41,
              "estimated_amount": 147.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 147.41,
              "estimated_amount": 147.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 147.41,
              "estimated_amount": 147.41
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 958.8
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 307.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 712.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 924.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 712.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 724.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 147.41,
              "estimated_amount": 147.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 147.41,
              "estimated_amount": 147.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 147.41,
              "estimated_amount": 147.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 147.41,
              "estimated_amount": 147.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 924.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 935.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 724.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 724.18
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 958.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 626.04
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 958.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 724.18
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 734.33
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 823.44
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 958.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 924.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 712.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 620.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 861.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 724.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 147.41,
              "estimated_amount": 147.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 147.41,
              "estimated_amount": 147.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 861.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 147.41,
              "estimated_amount": 147.41
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 823.44
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 626.04
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 626.04
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 846
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 958.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 712.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 924.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 924.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 712.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 989.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 147.41,
              "estimated_amount": 147.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 734.33
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 823.44
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 958.8
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 744.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 724.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 724.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 147.41,
              "estimated_amount": 147.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 147.41,
              "estimated_amount": 147.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 734.33
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 958.8
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 958.8
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 846
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 712.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 620.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 620.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 620.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 147.41,
              "estimated_amount": 147.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 147.41,
              "estimated_amount": 147.41
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 935.11
            }
          ],
          "minimum": 147.41,
          "maximum": 147.41
        }
      ]
    },
    {
      "description": "Drainage Bag 2000ml Bedside Velcro Hanger",
      "code_information": [
        {
          "code": "PX-CH-BA153504",
          "type": "CDM"
        },
        {
          "code": "A4357",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 9.27,
          "discounted_cash": 6.03,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.86
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9.27,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9.27,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 6.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.27,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.27,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 7.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 9.27
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.08
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.88
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 6.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.1
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 7.68
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9.27,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.88
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9.27,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.27,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 5.14
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9.27,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.27,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.27,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.27,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.77
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 9.27,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 8.13
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.1
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 8.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.1
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9.27,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 7.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 7.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.27,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 8.13
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9.27,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9.27,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.27,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6.03
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 2.53
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.27,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.27,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.27,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.77
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.88
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9.27,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.95
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.77
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.77
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.77
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 5.14
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.86
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9.27,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.86
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.1
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9.27,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9.27,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.08
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9.27,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.27,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 5.14
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9.27,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 6.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.86
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9.27,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 7.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.6
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9.27,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.27,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.27,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6.03
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.77
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.88
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 6.95
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9.27,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6.03
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 5.14
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.86
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.6
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.88
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.1
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9.27,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.27,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9.27,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.27,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9.27,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9.27,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.27,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6.03
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.88
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 9.27,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.86
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 2.83,
          "discounted_cash": 1.84,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.79
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2.29
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.07
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.57
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.32
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 2.49
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.41
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2.83,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.84
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2.83,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2.48
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.32
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.56
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.41
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.56
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.56
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2.83
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.07
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.57
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2.48
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.56
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.41
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.84
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.57
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.41
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2.29
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.07
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.41
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2.12
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.32
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2.35
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.84
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.07
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.41
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.07
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.07
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.41
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.79
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.83,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.57
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.56
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.79
            }
          ]
        }
      ]
    },
    {
      "description": "HC Gastrocult Gastric",
      "code_information": [
        {
          "code": "PX-30100160",
          "type": "CDM"
        },
        {
          "code": "82271",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 70,
          "discounted_cash": 45.5,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 44.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 38.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 44.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 45.57
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 52.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.95,
              "estimated_amount": 19.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.95,
              "estimated_amount": 19.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.95,
              "estimated_amount": 19.95
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 38.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 61.39
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 38.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 53.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 44.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.95,
              "estimated_amount": 19.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.95,
              "estimated_amount": 19.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.95,
              "estimated_amount": 19.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 45.57
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 57.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 57.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 44.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 44.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.95,
              "estimated_amount": 19.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 59.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 44.94
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 58.03
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 58.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 44.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 44.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.95,
              "estimated_amount": 19.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 59.5
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 59.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 53.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.95,
              "estimated_amount": 19.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 38.5
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 61.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 44.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 57.4
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 58.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 45.57
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 56.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 44.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 53.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.95,
              "estimated_amount": 19.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 56.63
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 59.5
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 59.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 44.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 57.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 57.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 38.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.95,
              "estimated_amount": 19.95
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 51.1
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 51.1
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 51.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 38.85
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 19.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.95,
              "estimated_amount": 19.95
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 70
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 57.4
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 59.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 44.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 57.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 38.5
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 59.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 53.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.95,
              "estimated_amount": 19.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.95,
              "estimated_amount": 19.95
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 59.5
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 46.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 44.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.95,
              "estimated_amount": 19.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 45.57
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 59.5
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 45.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 44.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 61.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 44.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 38.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 38.5
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 59.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 57.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 38.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 44.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 44.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 53.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.95,
              "estimated_amount": 19.95
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 52.5
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 59.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 53.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 44.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.95,
              "estimated_amount": 19.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 45.57
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 51.1
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 51.1
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 59.5
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 52.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 51.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 38.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 44.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 44.24
            }
          ],
          "minimum": 19.95,
          "maximum": 19.95
        }
      ]
    },
    {
      "description": "HC Calcium Urine 24 Hr",
      "code_information": [
        {
          "code": "PX-30100167",
          "type": "CDM"
        },
        {
          "code": "82340",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 87,
          "discounted_cash": 56.55,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 76.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 71.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.03,
              "estimated_amount": 6.03
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 76.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.61,
              "estimated_amount": 22.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.61,
              "estimated_amount": 22.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.61,
              "estimated_amount": 22.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 56.64
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 73.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 71.34
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 72.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 54.98
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 71.34
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 47.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 47.85
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 73.95
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 65.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 55.85
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 73.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 55.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 56.64
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 56.64
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 63.51
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 6.03,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 6.03,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 73.95
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 23.75
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 73.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 71.34
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 6.03,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 6.33,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 6.03,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 6.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 6.03,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 6.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 66.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 55.85
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 63.51
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 73.95
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 65.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 66.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 66.47
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 73.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 6.03,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 6.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 87,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 87,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 54.98
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 72.12
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.03,
              "estimated_amount": 6.03
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.03,
              "estimated_amount": 6.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 55.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 55.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 66.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 66.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.61,
              "estimated_amount": 22.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.61,
              "estimated_amount": 22.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 55.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 66.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.61,
              "estimated_amount": 22.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.61,
              "estimated_amount": 22.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.61,
              "estimated_amount": 22.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 70.38
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 63.51
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 6.03,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 6.03,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 48.29
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 73.95
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 56.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 76.3
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 72.12
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.82,
              "estimated_amount": 8.82
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 6.03,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 6.33,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.03,
              "estimated_amount": 6.03
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 87,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 55.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.61,
              "estimated_amount": 22.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.61,
              "estimated_amount": 22.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.61,
              "estimated_amount": 22.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 70.38
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 48.29
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 73.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 56.64
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 63.51
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 65.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.03,
              "estimated_amount": 6.03
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 6.03,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 6.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 54.98
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 71.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 71.34
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 47.85
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.03,
              "estimated_amount": 6.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.61,
              "estimated_amount": 22.61
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 73.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.61,
              "estimated_amount": 22.61
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.82,
              "estimated_amount": 8.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 55.85
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 6.03,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 6.03,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 54.98
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 47.85
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 6.03,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 6.33,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.61,
              "estimated_amount": 22.61
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 73.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 55.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 55.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.61,
              "estimated_amount": 22.61
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 63.51
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 87
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 73.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 54.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 54.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 54.98
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 73.95
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 73.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 71.34
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 47.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 55.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 56.64
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 63.51
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.82,
              "estimated_amount": 8.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 55.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.61,
              "estimated_amount": 22.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.61,
              "estimated_amount": 22.61
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 48.29
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 48.29
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 57.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 54.98
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 47.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 6.03,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 6.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.03,
              "estimated_amount": 6.03
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 6.03,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 6.33,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 71.34
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 47.85
            }
          ],
          "minimum": 6.03,
          "maximum": 22.61
        }
      ]
    },
    {
      "description": "2 Pc Pouch 2 1/4 in Sur-Fit Clamp Closure W/ Filter",
      "code_information": [
        {
          "code": "PX-CH-CV4112-66",
          "type": "CDM"
        },
        {
          "code": "A4425",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 5.99,
          "discounted_cash": 3.89,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.79
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 5.25
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.97
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.97
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.91
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 5.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.9
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 5.99
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5.99,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.79
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.29
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.9
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.37
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.09
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.91
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.91
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.29
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.97
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.9
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.37
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.37
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.32
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.09
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.29
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4.49
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.37
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.32
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.37
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.91
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.91
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.79
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.58
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.37
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.09
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.91
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.29
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.29
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.58
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.32
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5.99,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.29
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4.49
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.91
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4.85
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 3.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 5.25
            }
          ]
        }
      ]
    },
    {
      "description": "HC Estrone E1",
      "code_information": [
        {
          "code": "PX-30100233",
          "type": "CDM"
        },
        {
          "code": "82679",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 488,
          "discounted_cash": 317.2,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 219.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 400.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 268.4
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 414.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 31.63,
              "estimated_amount": 31.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 31.63,
              "estimated_amount": 31.63
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 244
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 356.24
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 414.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 93.56,
              "estimated_amount": 93.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 93.56,
              "estimated_amount": 93.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 93.56,
              "estimated_amount": 93.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.74,
              "estimated_amount": 16.74
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 29.77,
              "estimated_amount": 29.77
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 414.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 219.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 219.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 219.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 400.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 268.4
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 24.95,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 25.2,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 31.63,
              "estimated_amount": 31.63
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 268.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 24.95,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 25.2,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 219.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 400.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 400.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 30.4,
              "estimated_amount": 30.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 93.56,
              "estimated_amount": 93.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 93.56,
              "estimated_amount": 93.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 93.56,
              "estimated_amount": 93.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.74,
              "estimated_amount": 16.74
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 414.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 93.56,
              "estimated_amount": 93.56
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 29.77,
              "estimated_amount": 29.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 219.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 268.4
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 244
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.95,
              "estimated_amount": 24.95
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 488,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 24.95,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 26.2,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 488,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 366
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 400.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 400.16
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 244
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 24.95,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 26.2,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 24.95,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 26.2,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 31.63,
              "estimated_amount": 31.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 93.56,
              "estimated_amount": 93.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 93.56,
              "estimated_amount": 93.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 93.56,
              "estimated_amount": 93.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 244
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 356.24
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.74,
              "estimated_amount": 16.74
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 366
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 414.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 30.4,
              "estimated_amount": 30.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 31.63,
              "estimated_amount": 31.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 31.63,
              "estimated_amount": 31.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 93.56,
              "estimated_amount": 93.56
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 25,
              "estimated_amount": 122
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 219.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 24.95,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 25.2,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.95,
              "estimated_amount": 24.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 400.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 268.4
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.95,
              "estimated_amount": 24.95
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 429.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 31.63,
              "estimated_amount": 31.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 93.56,
              "estimated_amount": 93.56
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 356.24
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 24.95,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 24.95,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 414.8
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 366
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 93.56,
              "estimated_amount": 93.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 244
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 488
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 414.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 268.4
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 244
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 414.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 24.95,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 25.2,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 31.63,
              "estimated_amount": 31.63
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 414.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 30.4,
              "estimated_amount": 30.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 93.56,
              "estimated_amount": 93.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 93.56,
              "estimated_amount": 93.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 244
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 400.16
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.95,
              "estimated_amount": 24.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 268.4
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.95,
              "estimated_amount": 24.95
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 414.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 31.63,
              "estimated_amount": 31.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 30.4,
              "estimated_amount": 30.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 244
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 356.24
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 317.2
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 322.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 31.63,
              "estimated_amount": 31.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 31.63,
              "estimated_amount": 31.63
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 356.24
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 356.24
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 414.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 219.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 219.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 219.6
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 24.95,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 26.2,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 29.77,
              "estimated_amount": 29.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 30.4,
              "estimated_amount": 30.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 31.63,
              "estimated_amount": 31.63
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.74,
              "estimated_amount": 16.74
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 24.95,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 24.95,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 414.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 30.4,
              "estimated_amount": 30.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 93.56,
              "estimated_amount": 93.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 244
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 24.95,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 24.95,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 414.8
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.95,
              "estimated_amount": 24.95
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.95,
              "estimated_amount": 24.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 93.56,
              "estimated_amount": 93.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 244
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 414.8
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 488,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 24.95,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 25.2,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            }
          ],
          "minimum": 16.74,
          "maximum": 93.56
        }
      ]
    },
    {
      "description": "HC Immunoassay Noninfectious Agent",
      "code_information": [
        {
          "code": "PX-30100295",
          "type": "CDM"
        },
        {
          "code": "83516",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 318,
          "discounted_cash": 206.7,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 143.1
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 159
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.53,
              "estimated_amount": 11.53
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 318,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 318,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 242.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.75,
              "estimated_amount": 24.75
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 232.14
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.48,
              "estimated_amount": 9.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.75,
              "estimated_amount": 24.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 242.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 159
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 11.53,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 11.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 11.53,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 11.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 270.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 143.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 260.76
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 279.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.75,
              "estimated_amount": 24.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 43.24,
              "estimated_amount": 43.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 43.24,
              "estimated_amount": 43.24
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.48,
              "estimated_amount": 9.48
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.86,
              "estimated_amount": 16.86
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 270.3
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 11.53,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 12.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.53,
              "estimated_amount": 11.53
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 11.53,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 11.65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 270.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 143.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 143.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 174.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.75,
              "estimated_amount": 24.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.75,
              "estimated_amount": 24.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 43.24,
              "estimated_amount": 43.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 43.24,
              "estimated_amount": 43.24
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 232.14
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 270.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.75,
              "estimated_amount": 24.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.75,
              "estimated_amount": 24.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 43.24,
              "estimated_amount": 43.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 43.24,
              "estimated_amount": 43.24
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 238.5
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 11.53,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 12.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 270.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 260.76
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 174.9
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.53,
              "estimated_amount": 11.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 43.24,
              "estimated_amount": 43.24
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 270.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.75,
              "estimated_amount": 24.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.75,
              "estimated_amount": 24.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 159
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 159
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.48,
              "estimated_amount": 9.48
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 11.53,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 12.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 143.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 143.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 260.76
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 174.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 174.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 11.53,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 11.65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 159
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.53,
              "estimated_amount": 11.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 159
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 232.14
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 270.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 242.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 242.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 43.24,
              "estimated_amount": 43.24
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 159
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 143.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 260.76
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 174.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 11.53,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 11.65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.53,
              "estimated_amount": 11.53
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.86,
              "estimated_amount": 16.86
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 174.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.75,
              "estimated_amount": 24.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 43.24,
              "estimated_amount": 43.24
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 270.3
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 270.3
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 270.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 242.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.75,
              "estimated_amount": 24.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 242.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 43.24,
              "estimated_amount": 43.24
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.48,
              "estimated_amount": 9.48
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.86,
              "estimated_amount": 16.86
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 209.88
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 174.9
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.53,
              "estimated_amount": 11.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 143.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 143.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.75,
              "estimated_amount": 24.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 43.24,
              "estimated_amount": 43.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 43.24,
              "estimated_amount": 43.24
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 232.14
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 232.14
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 232.14
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 270.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 43.24,
              "estimated_amount": 43.24
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 206.7
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 159
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 318,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 143.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 260.76
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.53,
              "estimated_amount": 11.53
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 11.53,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 12.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 270.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 43.24,
              "estimated_amount": 43.24
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 159
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 318
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 25,
              "estimated_amount": 79.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 260.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 260.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 260.76
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 11.53,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 11.65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 270.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 43.24,
              "estimated_amount": 43.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 43.24,
              "estimated_amount": 43.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 43.24,
              "estimated_amount": 43.24
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 159
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 11.53,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 11.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 270.3
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 238.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 11.53,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 11.65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 238.5
            }
          ],
          "minimum": 9.48,
          "maximum": 43.24
        }
      ]
    },
    {
      "description": "HC Mercury So",
      "code_information": [
        {
          "code": "PX-30100330",
          "type": "CDM"
        },
        {
          "code": "83825",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 75,
          "discounted_cash": 48.75,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 47.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 32.93,
              "estimated_amount": 32.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 32.93,
              "estimated_amount": 32.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 60.98,
              "estimated_amount": 60.98
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 63.75
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 63.75
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 23.76,
              "estimated_amount": 23.76
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 49.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 57.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 60.98,
              "estimated_amount": 60.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 48.83
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 63.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 47.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 61.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 41.25
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 63.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 47.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 47.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 61.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 41.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 41.25
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 62.18
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 75,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 32.93,
              "estimated_amount": 32.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 48.83
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 63.75
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 20.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 32.93,
              "estimated_amount": 32.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 32.93,
              "estimated_amount": 32.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 57.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 60.98,
              "estimated_amount": 60.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 60.98,
              "estimated_amount": 60.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 48.83
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 63.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 47.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 61.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 61.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 61.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 62.18
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 62.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 57.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 60.98,
              "estimated_amount": 60.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 60.98,
              "estimated_amount": 60.98
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 63.75
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 23.76,
              "estimated_amount": 23.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 60.98,
              "estimated_amount": 60.98
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 63.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 16.26,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16.42,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.26,
              "estimated_amount": 16.26
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 16.26,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 17.07,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 65.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 61.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 61.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 41.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 16.26,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16.42,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.26,
              "estimated_amount": 16.26
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.26,
              "estimated_amount": 16.26
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 75,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 32.93,
              "estimated_amount": 32.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 32.93,
              "estimated_amount": 32.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 57.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 57.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 60.98,
              "estimated_amount": 60.98
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 16.26,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16.26,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 63.75
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 16.26,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16.26,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 63.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 47.4
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.26,
              "estimated_amount": 16.26
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 16.26,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16.42,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 16.26,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16.42,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 32.93,
              "estimated_amount": 32.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 60.98,
              "estimated_amount": 60.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 60.98,
              "estimated_amount": 60.98
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 16.26,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16.26,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 65.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 61.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.26,
              "estimated_amount": 16.26
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 63.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 41.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 32.93,
              "estimated_amount": 32.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 57.3
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 16.26,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16.42,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 66
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 63.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 48.83
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 54.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 41.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 60.98,
              "estimated_amount": 60.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 60.98,
              "estimated_amount": 60.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 60.98,
              "estimated_amount": 60.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 60.98,
              "estimated_amount": 60.98
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 54.75
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 54.75
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 63.75
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 16.26,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 17.07,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 23.76,
              "estimated_amount": 23.76
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 63.75
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 16.26,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 17.07,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 54.75
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 48.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 60.68
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 41.63
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 56.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 41.25
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.26,
              "estimated_amount": 16.26
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 75,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 47.4
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.26,
              "estimated_amount": 16.26
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 16.26,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 17.07,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 56.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 32.93,
              "estimated_amount": 32.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 32.93,
              "estimated_amount": 32.93
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 56.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 32.93,
              "estimated_amount": 32.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 60.98,
              "estimated_amount": 60.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 60.98,
              "estimated_amount": 60.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 60.68
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 54.75
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 54.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 47.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 60.98,
              "estimated_amount": 60.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 48.83
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 41.63
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 41.63
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 41.25
            }
          ],
          "minimum": 16.26,
          "maximum": 60.98
        }
      ]
    },
    {
      "description": "HC Sodium Other",
      "code_information": [
        {
          "code": "PX-30100411",
          "type": "CDM"
        },
        {
          "code": "84302",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 290,
          "discounted_cash": 188.5,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 290,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 237.8
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.86,
              "estimated_amount": 4.86
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.31,
              "estimated_amount": 6.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.14,
              "estimated_amount": 8.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.23,
              "estimated_amount": 18.23
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 246.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.86,
              "estimated_amount": 4.86
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 246.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.23,
              "estimated_amount": 18.23
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 4.86,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 4.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.86,
              "estimated_amount": 4.86
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 217.5
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 246.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 237.8
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 4.86,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 5.1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 255.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.14,
              "estimated_amount": 8.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.23,
              "estimated_amount": 18.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.23,
              "estimated_amount": 18.23
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 211.7
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 246.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.17,
              "estimated_amount": 4.17
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 4.86,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 4.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.31,
              "estimated_amount": 6.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.71,
              "estimated_amount": 5.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 290,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 159.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 4.86,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 4.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.86,
              "estimated_amount": 4.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.14,
              "estimated_amount": 8.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.14,
              "estimated_amount": 8.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.31,
              "estimated_amount": 6.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.82,
              "estimated_amount": 7.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.23,
              "estimated_amount": 18.23
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 211.7
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 211.7
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 4.86,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 4.86,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 188.5
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.18,
              "estimated_amount": 7.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 290,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 159.5
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 4.86,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 5.1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 290,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 159.5
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 4.86,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 5.1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.23,
              "estimated_amount": 18.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.23,
              "estimated_amount": 18.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.23,
              "estimated_amount": 18.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.31,
              "estimated_amount": 6.31
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 246.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.14,
              "estimated_amount": 8.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.82,
              "estimated_amount": 7.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.14,
              "estimated_amount": 8.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.23,
              "estimated_amount": 18.23
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 4.86,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 4.86,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 217.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 290,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 237.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 159.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.31,
              "estimated_amount": 6.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.23,
              "estimated_amount": 18.23
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 4.86,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 4.86,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 25,
              "estimated_amount": 72.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 246.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.82,
              "estimated_amount": 7.82
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 211.7
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.86,
              "estimated_amount": 4.86
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 4.86,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 5.1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 246.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 237.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 4.86,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 4.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.86,
              "estimated_amount": 4.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.14,
              "estimated_amount": 8.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.14,
              "estimated_amount": 8.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.82,
              "estimated_amount": 7.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.14,
              "estimated_amount": 8.14
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 4.86,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 4.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.23,
              "estimated_amount": 18.23
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 246.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.31,
              "estimated_amount": 6.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.31,
              "estimated_amount": 6.31
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 290
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.17,
              "estimated_amount": 4.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.14,
              "estimated_amount": 8.14
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.17,
              "estimated_amount": 4.17
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 246.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 290,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 237.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 159.5
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 246.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.86,
              "estimated_amount": 4.86
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.86,
              "estimated_amount": 4.86
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.18,
              "estimated_amount": 7.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.23,
              "estimated_amount": 18.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.23,
              "estimated_amount": 18.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.23,
              "estimated_amount": 18.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.31,
              "estimated_amount": 6.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.31,
              "estimated_amount": 6.31
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 246.5
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.86,
              "estimated_amount": 4.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.14,
              "estimated_amount": 8.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.23,
              "estimated_amount": 18.23
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 211.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.71,
              "estimated_amount": 5.71
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 237.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 237.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 159.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 290,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 290,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 237.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.82,
              "estimated_amount": 7.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.23,
              "estimated_amount": 18.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.23,
              "estimated_amount": 18.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.31,
              "estimated_amount": 6.31
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.17,
              "estimated_amount": 4.17
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 246.5
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.18,
              "estimated_amount": 7.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.14,
              "estimated_amount": 8.14
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 217.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 159.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.82,
              "estimated_amount": 7.82
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 211.7
            }
          ],
          "minimum": 4.17,
          "maximum": 18.23
        }
      ]
    },
    {
      "description": "Somatostatin Sendout",
      "code_information": [
        {
          "code": "PX-30100413",
          "type": "CDM"
        },
        {
          "code": "84307",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 522,
          "discounted_cash": 339.3,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 234.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 234.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 428.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 287.1
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 261
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 459.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.14,
              "estimated_amount": 24.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.12,
              "estimated_amount": 25.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 68.55,
              "estimated_amount": 68.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 68.55,
              "estimated_amount": 68.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 68.55,
              "estimated_amount": 68.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.12,
              "estimated_amount": 25.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 68.55,
              "estimated_amount": 68.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 68.55,
              "estimated_amount": 68.55
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.67,
              "estimated_amount": 15.67
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.67,
              "estimated_amount": 15.67
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 443.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 234.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 287.1
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.28,
              "estimated_amount": 18.28
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.28,
              "estimated_amount": 18.28
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 443.7
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 391.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 234.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 428.04
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 26.02,
              "estimated_amount": 26.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 68.55,
              "estimated_amount": 68.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 68.55,
              "estimated_amount": 68.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 261
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 391.5
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 339.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.12,
              "estimated_amount": 25.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 68.55,
              "estimated_amount": 68.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 261
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 18.28,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 18.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 522
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 443.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 287.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 18.28,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 18.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.28,
              "estimated_amount": 18.28
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.28,
              "estimated_amount": 18.28
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 443.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.12,
              "estimated_amount": 25.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.12,
              "estimated_amount": 25.12
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.67,
              "estimated_amount": 15.67
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 443.7
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 26.02,
              "estimated_amount": 26.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 68.55,
              "estimated_amount": 68.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 68.55,
              "estimated_amount": 68.55
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 381.06
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 443.7
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 344.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 234.9
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 18.28,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 19.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 18.28,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 18.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 428.04
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.28,
              "estimated_amount": 18.28
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 443.7
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 443.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.14,
              "estimated_amount": 24.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.12,
              "estimated_amount": 25.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.12,
              "estimated_amount": 25.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 68.55,
              "estimated_amount": 68.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 68.55,
              "estimated_amount": 68.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 68.55,
              "estimated_amount": 68.55
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.67,
              "estimated_amount": 15.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.14,
              "estimated_amount": 24.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.12,
              "estimated_amount": 25.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 261
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 381.06
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 381.06
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 287.1
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.28,
              "estimated_amount": 18.28
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 261
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.14,
              "estimated_amount": 24.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.12,
              "estimated_amount": 25.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 261
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 381.06
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 443.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 68.55,
              "estimated_amount": 68.55
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 443.7
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 443.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 428.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 287.1
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 261
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 18.28,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 19.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 287.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 18.28,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 18.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 261
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 443.7
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 26.02,
              "estimated_amount": 26.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.12,
              "estimated_amount": 25.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.14,
              "estimated_amount": 24.14
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 443.7
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 443.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 234.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 18.28,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 18.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 234.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 428.04
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 18.28,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 19.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 68.55,
              "estimated_amount": 68.55
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 18.28,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 18.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 25,
              "estimated_amount": 130.5
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 391.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 428.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 234.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 234.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 428.04
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 18.28,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 18.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.12,
              "estimated_amount": 25.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.14,
              "estimated_amount": 24.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 68.55,
              "estimated_amount": 68.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 261
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 381.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.12,
              "estimated_amount": 25.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 68.55,
              "estimated_amount": 68.55
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 381.06
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 18.28,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 18.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 234.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 428.04
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.28,
              "estimated_amount": 18.28
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 18.28,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 19.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 261
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 287.1
            }
          ],
          "minimum": 15.67,
          "maximum": 68.55
        }
      ]
    },
    {
      "description": "HC Thyroglobulin",
      "code_information": [
        {
          "code": "PX-30100423",
          "type": "CDM"
        },
        {
          "code": "84432",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 280,
          "discounted_cash": 182,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 176.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 232.12
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 280,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 213.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 60.23,
              "estimated_amount": 60.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 182.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 182.28
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 16.06,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16.06,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 210
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 60.23,
              "estimated_amount": 60.23
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 204.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 176.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 245.56
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 16.06,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16.22,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 176.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 229.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 16.06,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16.22,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.06,
              "estimated_amount": 16.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 213.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 60.23,
              "estimated_amount": 60.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 60.23,
              "estimated_amount": 60.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 60.23,
              "estimated_amount": 60.23
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 204.4
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 238
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 210
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 238
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 238
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 179.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 140
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 204.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 280
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 154
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 210
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 176.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 229.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 154
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 179.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 179.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 182.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 140
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 76.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 179.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 213.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 60.23,
              "estimated_amount": 60.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 60.23,
              "estimated_amount": 60.23
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 155.4
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 16.06,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16.06,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 176.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 176.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 229.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 229.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 229.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 154
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 213.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 60.23,
              "estimated_amount": 60.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 179.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 179.76
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 155.4
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 238
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 23.47,
              "estimated_amount": 23.47
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 280,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 176.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 154
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 16.06,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16.22,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.06,
              "estimated_amount": 16.06
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 16.06,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16.86,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.06,
              "estimated_amount": 16.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 179.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 179.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 60.23,
              "estimated_amount": 60.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 60.23,
              "estimated_amount": 60.23
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 238
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 23.47,
              "estimated_amount": 23.47
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 238
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 204.4
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 204.4
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 16.06,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16.06,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 238
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 182
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 232.12
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 232.12
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.06,
              "estimated_amount": 16.06
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.06,
              "estimated_amount": 16.06
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.06,
              "estimated_amount": 16.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 229.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 154
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 16.06,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16.22,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 179.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 60.23,
              "estimated_amount": 60.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 182.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 182.28
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 238
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 229.6
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 280,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 154
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 238
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 238
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 238
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 179.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 179.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 60.23,
              "estimated_amount": 60.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 60.23,
              "estimated_amount": 60.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 176.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 154
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 16.06,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16.86,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 246.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 213.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 60.23,
              "estimated_amount": 60.23
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 204.4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 238
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 238
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 184.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 179.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 60.23,
              "estimated_amount": 60.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 60.23,
              "estimated_amount": 60.23
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 155.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 155.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 245.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 229.6
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.06,
              "estimated_amount": 16.06
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 16.06,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16.86,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 238
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 213.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 60.23,
              "estimated_amount": 60.23
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 23.47,
              "estimated_amount": 23.47
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 16.06,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16.86,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 16.06,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16.22,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            }
          ],
          "minimum": 16.06,
          "maximum": 60.23
        }
      ]
    },
    {
      "description": "\"Foam Drsg Adhesive Biatain 5\"\" X 5\"\" W/ 2.23\"\" X 2.23\"\" Pad\"",
      "code_information": [
        {
          "code": "PX-CH-CO3435",
          "type": "CDM"
        },
        {
          "code": "A6212",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 9.87,
          "discounted_cash": 6.42,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.24
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9.87,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 8.18
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9.87,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.87,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.87,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.87,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 2.69
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.24
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9.87,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9.87,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.39
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.34
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.39
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.87,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.39
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 9.87,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.43
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9.87,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9.87,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 7.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.24
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9.87,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.87,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.87,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 7.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 5.48
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9.87,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.39
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9.87,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 7.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.87,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.43
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 8.66
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.09
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9.87,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.87,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.87,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 7.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 9.87
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.39
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 7.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.87,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6.43
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 9.87,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.09
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 8.66
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.09
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 8.18
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9.87,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.87,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.54
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 5.48
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 5.48
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 6.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.09
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.43
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9.87,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 8.69
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6.43
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7.21
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9.87,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.87,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.87,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7.21
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9.87,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.24
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9.87,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9.87,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9.87,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.87,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.87,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9.87,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.87,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9.87,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6.43
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7.21
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7.21
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 5.48
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 8.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.09
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.09
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.43
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9.87,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6.43
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9.87,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9.87,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.54
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.43
            }
          ]
        }
      ]
    },
    {
      "description": "Gloves Latex Powder-Free Medium",
      "code_information": [
        {
          "code": "PX-CH-M9PF4002",
          "type": "CDM"
        },
        {
          "code": "A4927",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.1,
          "discounted_cash": 0.06,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 0.1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 0.1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.1,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Hcg Qualitative",
      "code_information": [
        {
          "code": "PX-30100460",
          "type": "CDM"
        },
        {
          "code": "84703",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 32,
          "discounted_cash": 20.8,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 28.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 20.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 26.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 17.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 20.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 20.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 24.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 28.2,
              "estimated_amount": 28.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 28.2,
              "estimated_amount": 28.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 28.2,
              "estimated_amount": 28.2
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 23.36
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 23.36
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 17.76
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 27.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 20.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 28.2,
              "estimated_amount": 28.2
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 27.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 20.22
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 7.52,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 7.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.52,
              "estimated_amount": 7.52
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 27.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 17.76
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 7.52,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 7.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 28.2,
              "estimated_amount": 28.2
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 23.36
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 7.52,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 7.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 8.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 20.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 26.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 17.6
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.52,
              "estimated_amount": 7.52
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 26.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 20.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 26.24
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.52,
              "estimated_amount": 7.52
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.52,
              "estimated_amount": 7.52
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 32,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10.98,
              "estimated_amount": 10.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 28.2,
              "estimated_amount": 28.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 25.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 28.2,
              "estimated_amount": 28.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 28.2,
              "estimated_amount": 28.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 28.2,
              "estimated_amount": 28.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 17.76
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 24
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 20.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 20.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 20.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 26.24
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 7.52,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 7.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 27.2
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 27.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 20.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 24.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 20.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 24.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 28.2,
              "estimated_amount": 28.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 28.2,
              "estimated_amount": 28.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 32
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 27.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 20.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 20.83
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 27.2
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10.98,
              "estimated_amount": 10.98
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 21.12
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 26.53
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 7.52,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 7.9,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 32,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 32,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 27.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 28.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 26.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 17.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 7.52,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 7.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 7.52,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 7.9,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 7.52,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 7.9,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 20.83
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 7.52,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 7.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 20.8
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 27.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 20.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 24.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 28.2,
              "estimated_amount": 28.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 17.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 7.52,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 7.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.52,
              "estimated_amount": 7.52
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 28.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 17.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 20.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 28.2,
              "estimated_amount": 28.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 25.89
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 23.36
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 27.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 26.24
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 17.6
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.52,
              "estimated_amount": 7.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 20.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 24.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 28.2,
              "estimated_amount": 28.2
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 27.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 20.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 20.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 20.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 20.83
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 20.83
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 23.36
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10.98,
              "estimated_amount": 10.98
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 26.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 26.24
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 7.52,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 7.9,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 7.52,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 7.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 24.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 28.2,
              "estimated_amount": 28.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 28.2,
              "estimated_amount": 28.2
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 27.2
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 27.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 28.2,
              "estimated_amount": 28.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 20.83
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 17.76
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 17.6
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.52,
              "estimated_amount": 7.52
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 26.53
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 23.36
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 27.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 20.22
            }
          ],
          "minimum": 7.52,
          "maximum": 28.2
        }
      ]
    },
    {
      "description": "HC Glutathione So",
      "code_information": [
        {
          "code": "PX-30101236",
          "type": "CDM"
        },
        {
          "code": "82978",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1054,
          "discounted_cash": 685.1,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 666.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 666.13
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 579.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 15.45,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 15.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 927.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 676.67
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 769.42
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 15.45,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 15.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 676.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 57.94,
              "estimated_amount": 57.94
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 769.42
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 584.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 666.13
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 864.28
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 873.77
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 579.7
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 895.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 686.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 686.15
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 15.45,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 15.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 805.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 676.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 57.94,
              "estimated_amount": 57.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 57.94,
              "estimated_amount": 57.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 686.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 686.15
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 584.97
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 895.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 864.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 864.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 924.36
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 864.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 579.7
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.45,
              "estimated_amount": 15.45
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 895.9
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 895.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 676.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 676.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 57.94,
              "estimated_amount": 57.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 57.94,
              "estimated_amount": 57.94
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 15.45,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 15.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1054
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.09,
              "estimated_amount": 18.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 924.36
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 579.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 579.7
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.45,
              "estimated_amount": 15.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 579.7
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 15.45,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16.22,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 805.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 57.94,
              "estimated_amount": 57.94
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 685.1
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 895.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 676.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 676.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 57.94,
              "estimated_amount": 57.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 57.94,
              "estimated_amount": 57.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 57.94,
              "estimated_amount": 57.94
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 769.42
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 584.97
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 895.9
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 790.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 864.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 864.28
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 15.45,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16.22,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 895.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 15.45,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 15.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 873.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 57.94,
              "estimated_amount": 57.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 57.94,
              "estimated_amount": 57.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 57.94,
              "estimated_amount": 57.94
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 895.9
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 895.9
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.09,
              "estimated_amount": 18.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 805.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 57.94,
              "estimated_amount": 57.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 57.94,
              "estimated_amount": 57.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 666.13
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 15.45,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 15.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 15.45,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16.22,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.45,
              "estimated_amount": 15.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 864.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 864.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 579.7
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.45,
              "estimated_amount": 15.45
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.45,
              "estimated_amount": 15.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 57.94,
              "estimated_amount": 57.94
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 15.45,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16.22,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 15.45,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 15.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 57.94,
              "estimated_amount": 57.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 852.69
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 287.74
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 895.9
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 230.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 666.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 666.13
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 895.9
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 790.5
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 895.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 676.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 57.94,
              "estimated_amount": 57.94
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 769.42
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 769.42
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 769.42
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 790.5
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 895.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 676.67
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 695.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 666.13
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 15.45,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 15.6,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.45,
              "estimated_amount": 15.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 805.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 686.15
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 584.97
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 895.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 805.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 805.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 676.67
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 666.13
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.45,
              "estimated_amount": 15.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 676.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 676.67
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 852.69
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 873.77
            }
          ],
          "minimum": 15.45,
          "maximum": 57.94
        }
      ]
    },
    {
      "description": "HC Fet Con ABN Afp4 Algorithm So",
      "code_information": [
        {
          "code": "PX-30101237",
          "type": "CDM"
        },
        {
          "code": "81511",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 122,
          "discounted_cash": 79.3,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 122,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 156.9,
              "estimated_amount": 122
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 76.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 61
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 106.65,
              "estimated_amount": 106.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 76.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 76.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 575.63,
              "estimated_amount": 575.63
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 106.65,
              "estimated_amount": 106.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 122,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 100.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 67.1
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 153.5,
              "estimated_amount": 153.5
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 153.5,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 161.18,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 107.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 122,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 67.1
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 61
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 103.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 575.63,
              "estimated_amount": 575.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 575.63,
              "estimated_amount": 575.63
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 106.65,
              "estimated_amount": 106.65
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 153.5,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 153.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 153.5,
              "estimated_amount": 153.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 103.7
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 153.5,
              "estimated_amount": 153.5
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 103.7
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 103.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 76.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 76.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 122,
              "additional_payer_notes": "REFERENCE LAB"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 89.06
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 25,
              "estimated_amount": 30.5
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 122,
              "additional_payer_notes": "REFERENCE LAB"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 153.5,
              "estimated_amount": 153.5
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 153.5,
              "estimated_amount": 153.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 100.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 76.25
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 89.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 122,
              "additional_payer_notes": "REFERENCE LAB"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 76.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 575.63,
              "estimated_amount": 575.63
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 122,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 61
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 100.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 67.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 67.1
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 153.5,
              "estimated_amount": 153.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 122,
              "additional_payer_notes": "REFERENCE LAB"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 76.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 575.63,
              "estimated_amount": 575.63
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 61
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 103.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 76.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 122,
              "additional_payer_notes": "REFERENCE LAB"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 575.63,
              "estimated_amount": 575.63
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 61
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 89.06
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 153.5,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 153.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 100.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 67.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 67.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 67.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 153.5,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 155.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 122,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 100.04
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 153.5,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 155.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 153.5,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 161.18,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 153.5,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 161.18,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 103.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 575.63,
              "estimated_amount": 575.63
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 89.06
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 106.65,
              "estimated_amount": 106.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 61
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 89.06
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 103.7
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 122,
              "additional_payer_notes": "REFERENCE LAB"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 103.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 100.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 100.04
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 61
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 153.5,
              "estimated_amount": 153.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 575.63,
              "estimated_amount": 575.63
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 153.5,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 155.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 575.63,
              "estimated_amount": 575.63
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 103.7
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 103.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 575.63,
              "estimated_amount": 575.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 575.63,
              "estimated_amount": 575.63
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 122
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 91.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 122,
              "additional_payer_notes": "REFERENCE LAB"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 76.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 575.63,
              "estimated_amount": 575.63
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 61
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 79.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 156.9,
              "estimated_amount": 122
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 122,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 153.5,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 155.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 153.5,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 161.18,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 89.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 122,
              "additional_payer_notes": "REFERENCE LAB"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 76.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 76.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 575.63,
              "estimated_amount": 575.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 575.63,
              "estimated_amount": 575.63
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 91.5
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 153.5,
              "estimated_amount": 153.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 103.7
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 91.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 575.63,
              "estimated_amount": 575.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 575.63,
              "estimated_amount": 575.63
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 103.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 122,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 100.04
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 153.5,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 155.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 153.5,
              "estimated_amount": 153.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 575.63,
              "estimated_amount": 575.63
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 153.5,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 153.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 122,
              "additional_payer_notes": "Reference Lab"
            }
          ],
          "minimum": 106.65,
          "maximum": 575.63
        }
      ]
    },
    {
      "description": "HC Antidepressants Class; 3-5 So",
      "code_information": [
        {
          "code": "PX-30101241",
          "type": "CDM"
        },
        {
          "code": "80333",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 326,
          "discounted_cash": 211.9,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 146.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 146.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 267.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 326,
              "additional_payer_notes": "REFERENCE LAB"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 237.98
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 277.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 203.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 203.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 326,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 163
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 163
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 277.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 146.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 267.32
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 163
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 326,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 326,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 163
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10.25,
              "estimated_amount": 10.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 326
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 179.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 179.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 267.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 203.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 326,
              "additional_payer_notes": "REFERENCE LAB"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 326,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 203.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 326,
              "additional_payer_notes": "REFERENCE LAB"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 326,
              "additional_payer_notes": "REFERENCE LAB"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 203.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 326,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 326,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 277.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 146.7
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 163
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 277.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 146.7
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 244.5
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 286.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 326,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 326,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10.25,
              "estimated_amount": 10.25
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 25,
              "estimated_amount": 81.5
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.85,
              "estimated_amount": 12.85
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 244.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 203.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 326,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 326,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 163
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 277.1
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 244.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 146.7
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 326,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 326,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 267.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 179.3
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 277.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 203.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 326,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 326,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 163
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 215.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 326,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 326,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 237.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 146.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 267.32
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 163
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 203.75
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 326,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 163
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 163
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 203.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 203.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 326,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 326,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10.25,
              "estimated_amount": 10.25
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 277.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 179.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 146.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 146.7
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.85,
              "estimated_amount": 12.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 203.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 203.75
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 277.1
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 211.9
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 277.1
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 277.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 267.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 179.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 267.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 179.3
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 237.98
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 277.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 326,
              "additional_payer_notes": "REFERENCE LAB"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 326,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 237.98
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 277.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 267.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 179.3
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 277.1
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 277.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 326,
              "additional_payer_notes": "REFERENCE LAB"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 237.98
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 237.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10.25,
              "estimated_amount": 10.25
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.85,
              "estimated_amount": 12.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 146.7
            }
          ],
          "minimum": 10.25,
          "maximum": 12.85
        }
      ]
    },
    {
      "description": "Filters Charcoal Pack of 10",
      "code_information": [
        {
          "code": "PX-CH-CO0509",
          "type": "CDM"
        },
        {
          "code": "A4368",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 8.51,
          "discounted_cash": 5.53,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.54
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.21
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.21
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4.72
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.23
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 5.53
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.68
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 7.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.68
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.68
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4.72
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 6.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.54
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 2.32
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 6.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.21
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 7.46
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.68
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6.98
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6.98
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 7.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.21
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.23
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6.98
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.23
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 7.05
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.23
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 6.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.21
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4.72
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.23
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 6.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.38
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6.98
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 8.51
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 7.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.23
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7.23
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 7.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.38
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 6.88
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6.21
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6.98
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.46
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 5.62
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6.98
            }
          ]
        }
      ]
    },
    {
      "description": "Shampoo/Body Wash 4 Oz Aloe Vesta",
      "code_information": [
        {
          "code": "PX-CH-CV3246-04",
          "type": "CDM"
        },
        {
          "code": "A9270",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2.75,
          "discounted_cash": 1.79,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.74
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.34
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.26
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.26
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.79
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.53
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2.06
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.79
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.01
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.79
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.79
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.01
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.53
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.74
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 2.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.74
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.51
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2.28
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.77
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.53
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.74
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.26
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.74
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.26
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.51
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2.22
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.74
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.51
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2.28
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.01
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.26
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2.28
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.01
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.34
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.79
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.34
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2.75,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.77
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.01
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2.75,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.26
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2.41
            }
          ]
        }
      ]
    },
    {
      "description": "Shampoo/Body Wash/Peri-Foam Bedside Care 8 Oz",
      "code_information": [
        {
          "code": "PX-CH-CO7146",
          "type": "CDM"
        },
        {
          "code": "A4649",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 12.06,
          "discounted_cash": 7.84,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.62
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.63
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.63
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.63
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 12.06,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 12.06,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 12.06,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.06,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 6.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 9.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.06,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 12.06,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 6.69
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.89
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 12.06,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 12.06,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.25
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.25
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 12.06,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.06,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.06,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8.8
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.06,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.25
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.25
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 10
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.62
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.89
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.63
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 12.06,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.06,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.06,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.06,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 6.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.06,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.06,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8.8
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.62
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 12.06,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 9.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7.85
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 6.69
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 9.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.06,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8.8
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.25
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 9.05
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 9.05
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.62
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.89
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 12.06,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 10
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 12.06,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.06,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 3.29
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 12.06,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 9.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.06,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.06,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.63
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 10.61
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 10
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 9.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 9.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.06,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 12.06
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 12.06,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.74
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 12.06,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 12.06,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 10.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.89
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.89
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.89
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.63
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 12.06,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 12.06,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 9.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.06,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 9.76
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 12.06,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.74
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.63
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 9.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.06,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7.85
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8.8
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 12.06,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 10.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.62
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 12.06,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8.8
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 7.96
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 12.06,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 12.06,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 12.06,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "\"Foam Drsg Biopatch With Chng 3/4\"\" Disk 1-1/2 Mm\"",
      "code_information": [
        {
          "code": "PX-CH-JJ4151",
          "type": "CDM"
        },
        {
          "code": "A4649",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 16.51,
          "discounted_cash": 10.73,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 14.48
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.51,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.51,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10.75
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10.75
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.51,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9.08
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 13.36
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 16.51
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 9.16
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12.05
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12.05
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 14.48
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.43
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9.08
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.51,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 13.69
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 14.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 10.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.43
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13.54
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.51,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.51,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13.54
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9.08
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.51,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.6
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12.61
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.51,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.51,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13.54
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.51,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.43
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13.54
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.51,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 9.16
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 4.51
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 12.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.03
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.51,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.51,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.03
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.51,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.03
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.51,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 12.38
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10.75
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.51,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 16.51,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13.54
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.51,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9.08
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9.08
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.51,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 13.69
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.51,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 13.36
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12.05
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12.05
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12.05
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 9.16
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 12.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.43
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.43
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9.08
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.51,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 13.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10.75
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.03
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 16.51,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 9.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9.08
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.43
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.51,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "Bleach Wipe 5 in X 8 in Sani Cloth Pdi",
      "code_information": [
        {
          "code": "PX-CH-1MGC110",
          "type": "CDM"
        },
        {
          "code": "A9270",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1.36,
          "discounted_cash": 0.88,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.86
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.04
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.99
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.99
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.99
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.12
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.99
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1.36,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.12
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.37
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.12
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.13
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.13
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.12
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1.36,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.86
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.99
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.02
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.99
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.86
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.13
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.36,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.02
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.12
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.75
            }
          ]
        }
      ]
    },
    {
      "description": "Buprenorphine Sendout",
      "code_information": [
        {
          "code": "PX-30100829",
          "type": "CDM"
        },
        {
          "code": "80348",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 99,
          "discounted_cash": 64.35,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 44.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 81.18
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 54.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 61.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 61.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 75.64
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 72.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 75.64
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 49.5
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 84.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 54.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 81.18
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.85,
              "estimated_amount": 12.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 61.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 61.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 99
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 84.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 61.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 49.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 44.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 44.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 54.45
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 49.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 49.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 81.18
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 54.45
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 84.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 61.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 65.34
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 25,
              "estimated_amount": 24.75
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 84.15
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 74.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 44.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 54.45
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 84.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 44.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 81.18
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 54.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 61.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 75.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 75.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 54.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 84.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 49.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 49.5
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.85,
              "estimated_amount": 12.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 44.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 44.55
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 49.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 61.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 49.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 72.27
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 72.27
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 84.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 61.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 75.64
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 49.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 54.95
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 64.35
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 99,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 99,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 44.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 44.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 81.18
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 54.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 49.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 84.15
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 84.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 54.95
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 84.15
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 84.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 81.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 81.18
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 87.12
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 74.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 61.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 72.27
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 54.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 72.27
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.85,
              "estimated_amount": 12.85
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 84.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 81.18
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 99,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 61.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 75.64
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 74.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 61.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 84.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 99,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 72.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 44.55
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 84.15
            }
          ],
          "minimum": 12.85,
          "maximum": 12.85
        }
      ]
    },
    {
      "description": "Huber Infusion Set Plus 20 G X 1 in Safety",
      "code_information": [
        {
          "code": "PX-CH-FEMM2001",
          "type": "CDM"
        },
        {
          "code": "A4212",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 22.74,
          "discounted_cash": 14.78,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 14.37
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 18.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 18.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 14.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 14.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 19.33
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 15.01
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 12.51
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 18.85
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 19.33
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 18.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 14.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 14.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 12.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 14.37
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 14.37
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 19.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 14.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 14.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 14.6
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 19.33
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 17.06
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 14.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 18.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 19.94
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 12.51
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 12.51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 12.62
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 6.21
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 19.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 14.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 18.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 14.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 14.37
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 18.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 18.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 14.37
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 18.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 14.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 14.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 14.8
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 16.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 22.74
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 19.33
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 12.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 14.37
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 14.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 17.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 16.6
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 17.06
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 19.33
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 16.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 12.62
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 12.62
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 12.51
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 12.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 18.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 18.65
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 12.51
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 20.01
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 19.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 17.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 14.8
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 16.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 17.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 14.8
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 16.6
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 19.33
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 19.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 19.94
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 18.85
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 17.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 17.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 17.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 14.6
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 19.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 14.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 17.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 14.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 16.6
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 19.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 14.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 22.74,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 18.4
            }
          ]
        }
      ]
    },
    {
      "description": "Moisture Barrier Ointment Secura 2 Protect 2.47 0z",
      "code_information": [
        {
          "code": "PX-CH-UN4482-00",
          "type": "CDM"
        },
        {
          "code": "A6250",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 4.04,
          "discounted_cash": 2.63,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3.54
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4.04,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.31
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.22
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3.35
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.24
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4.04,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 2.67
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.22
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 3.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.63
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3.35
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.63
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.43
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.63
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.43
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.22
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.43
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.63
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.31
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.43
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3.27
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 4.04
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.31
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.22
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.22
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.43
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.43
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.22
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.31
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.59
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.24
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.63
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3.27
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.04,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "Beta 2 Glycoprotein 1 Antibody Each Sendout",
      "code_information": [
        {
          "code": "PX-30200013",
          "type": "CDM"
        },
        {
          "code": "86146",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 71,
          "discounted_cash": 46.15,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 31.95
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 25.45,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 26.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.45,
              "estimated_amount": 25.45
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 25.45,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 26.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 71,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.45,
              "estimated_amount": 16.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 95.44,
              "estimated_amount": 95.44
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 25.45,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 25.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 60.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.45,
              "estimated_amount": 16.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.45,
              "estimated_amount": 16.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 35.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 60.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 31.95
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 71,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 31.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 39.05
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.45,
              "estimated_amount": 25.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.45,
              "estimated_amount": 16.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.45,
              "estimated_amount": 16.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.45,
              "estimated_amount": 16.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 95.44,
              "estimated_amount": 95.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 95.44,
              "estimated_amount": 95.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 35.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 35.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 51.83
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 25.45,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 25.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 25.45,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 25.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 95.44,
              "estimated_amount": 95.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 95.44,
              "estimated_amount": 95.44
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 51.83
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 25,
              "estimated_amount": 17.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 39.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 39.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 25.45,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 25.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 58.22
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 39.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.45,
              "estimated_amount": 16.45
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 53.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.45,
              "estimated_amount": 16.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.82,
              "estimated_amount": 15.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 95.44,
              "estimated_amount": 95.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 95.44,
              "estimated_amount": 95.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 35.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 51.83
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 51.83
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.83,
              "estimated_amount": 21.83
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.83,
              "estimated_amount": 21.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 31.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 31.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 58.22
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.45,
              "estimated_amount": 25.45
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 35.5
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 25.45,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 25.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.82,
              "estimated_amount": 15.82
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 60.35
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 46.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 95.44,
              "estimated_amount": 95.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 95.44,
              "estimated_amount": 95.44
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 60.35
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 62.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 31.95
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 60.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.45,
              "estimated_amount": 16.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.82,
              "estimated_amount": 15.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 95.44,
              "estimated_amount": 95.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 35.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 60.35
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 46.15
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.83,
              "estimated_amount": 21.83
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 34.83,
              "estimated_amount": 34.83
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 60.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 31.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 31.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 39.05
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 71,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 31.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 58.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.45,
              "estimated_amount": 16.45
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 53.25
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 60.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.45,
              "estimated_amount": 16.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 95.44,
              "estimated_amount": 95.44
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 51.83
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 60.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 39.05
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.45,
              "estimated_amount": 25.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 31.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 58.22
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 25.45,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 25.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 25.45,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 26.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 25.45,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 26.72,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 60.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.45,
              "estimated_amount": 16.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.82,
              "estimated_amount": 15.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 95.44,
              "estimated_amount": 95.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 95.44,
              "estimated_amount": 95.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 95.44,
              "estimated_amount": 95.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 95.44,
              "estimated_amount": 95.44
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 51.83
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.83,
              "estimated_amount": 21.83
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 34.83,
              "estimated_amount": 34.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.82,
              "estimated_amount": 15.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 95.44,
              "estimated_amount": 95.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 35.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 35.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 71
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 60.35
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 53.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 39.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 25.45,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 25.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 35.5
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.45,
              "estimated_amount": 25.45
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.45,
              "estimated_amount": 25.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 58.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 58.22
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 25.45,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 25.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.45,
              "estimated_amount": 25.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.82,
              "estimated_amount": 15.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 95.44,
              "estimated_amount": 95.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 58.22
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 34.83,
              "estimated_amount": 34.83
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 60.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 58.22
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 35.5
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 60.35
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 60.35
            }
          ],
          "minimum": 15.82,
          "maximum": 95.44
        }
      ]
    },
    {
      "description": "HC Cold Agglutinin Titer",
      "code_information": [
        {
          "code": "PX-30200016",
          "type": "CDM"
        },
        {
          "code": "86157",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 80,
          "discounted_cash": 52,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 70.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 65.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 65.6
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.06,
              "estimated_amount": 8.06
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 61.12
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 80
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 51.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 51.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 30.23,
              "estimated_amount": 30.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 52.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 52.08
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.78,
              "estimated_amount": 11.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 50.56
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 44
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 8.06,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 8.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 44
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 80,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 61.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 51.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 30.23,
              "estimated_amount": 30.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 30.23,
              "estimated_amount": 30.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 52.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 52.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 64.72
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 30.23,
              "estimated_amount": 30.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 30.23,
              "estimated_amount": 30.23
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 52.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 65.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 44
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 8.06,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 8.14,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 70.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 44
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 61.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 30.23,
              "estimated_amount": 30.23
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 80,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 60
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 68
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 65.6
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 66.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 51.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 30.23,
              "estimated_amount": 30.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 30.23,
              "estimated_amount": 30.23
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 44.4
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 8.06,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 8.06,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 68
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 60
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 52
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 65.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 65.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 65.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 65.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 8.06,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 8.14,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 80,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 8.06,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 8.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.06,
              "estimated_amount": 8.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 51.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 51.36
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 44.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 61.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 51.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 51.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 51.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 30.23,
              "estimated_amount": 30.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 30.23,
              "estimated_amount": 30.23
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 58.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 44.4
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 66.32
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.06,
              "estimated_amount": 8.06
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 8.06,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 8.14,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 44
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 8.06,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 8.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 8.06,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 8.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.78,
              "estimated_amount": 11.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 30.23,
              "estimated_amount": 30.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 52.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 64.72
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 58.4
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 58.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 51.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 30.23,
              "estimated_amount": 30.23
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 58.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 44.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 50.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 50.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 50.56
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.06,
              "estimated_amount": 8.06
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 8.06,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 8.06,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 51.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 30.23,
              "estimated_amount": 30.23
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 68
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 68
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 21.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 50.56
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 8.06,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 8.14,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.06,
              "estimated_amount": 8.06
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 66.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 50.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 50.56
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.06,
              "estimated_amount": 8.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 61.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 30.23,
              "estimated_amount": 30.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 30.23,
              "estimated_amount": 30.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 30.23,
              "estimated_amount": 30.23
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 8.06,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 8.06,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 68
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 68
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 60
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.78,
              "estimated_amount": 11.78
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 68
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 50.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 70.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 51.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 61.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 30.23,
              "estimated_amount": 30.23
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 58.4
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 58.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 8.06,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 8.14,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.06,
              "estimated_amount": 8.06
            }
          ],
          "minimum": 8.06,
          "maximum": 30.23
        }
      ]
    },
    {
      "description": "HC Potassium Urine So",
      "code_information": [
        {
          "code": "PX-30101250",
          "type": "CDM"
        },
        {
          "code": "84133",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 30,
          "discounted_cash": 19.5,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 13.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 16.5
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 25.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.41,
              "estimated_amount": 9.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.79,
              "estimated_amount": 9.79
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 22.5
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.28,
              "estimated_amount": 6.28
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 19.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.79,
              "estimated_amount": 9.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.41,
              "estimated_amount": 9.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.74,
              "estimated_amount": 17.74
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3.7,
              "estimated_amount": 3.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 13.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 24.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 24.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3.7,
              "estimated_amount": 3.7
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 25.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.79,
              "estimated_amount": 9.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.74,
              "estimated_amount": 17.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.74,
              "estimated_amount": 17.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.74,
              "estimated_amount": 17.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 13.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 24.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 4.73,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 4.78,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 15
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.73,
              "estimated_amount": 4.73
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 4.73,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 4.97,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 25.5
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 4.73,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 4.97,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 30,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 25.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.79,
              "estimated_amount": 9.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.41,
              "estimated_amount": 9.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.74,
              "estimated_amount": 17.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 15
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 21.9
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 25.5
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 25.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.79,
              "estimated_amount": 9.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.74,
              "estimated_amount": 17.74
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 21.9
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 4.73,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 4.73,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 25.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 13.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 13.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 16.5
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.73,
              "estimated_amount": 4.73
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.73,
              "estimated_amount": 4.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.74,
              "estimated_amount": 17.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.74,
              "estimated_amount": 17.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.41,
              "estimated_amount": 9.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.79,
              "estimated_amount": 9.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 13.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 13.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 24.6
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.73,
              "estimated_amount": 4.73
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.73,
              "estimated_amount": 4.73
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 24.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 24.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 16.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 15
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 22.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.41,
              "estimated_amount": 9.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.79,
              "estimated_amount": 9.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.74,
              "estimated_amount": 17.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.74,
              "estimated_amount": 17.74
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 4.73,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 4.73,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 25.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 16.5
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 4.73,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 4.78,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 26.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 24.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 24.6
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.73,
              "estimated_amount": 4.73
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.73,
              "estimated_amount": 4.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.79,
              "estimated_amount": 9.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.79,
              "estimated_amount": 9.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.74,
              "estimated_amount": 17.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.74,
              "estimated_amount": 17.74
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 21.9
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.28,
              "estimated_amount": 6.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.74,
              "estimated_amount": 17.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.74,
              "estimated_amount": 17.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 15
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 25.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 25.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 13.5
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 4.73,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 4.97,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 25.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.41,
              "estimated_amount": 9.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 15
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 25,
              "estimated_amount": 7.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 25.5
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 22.5
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 19.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.79,
              "estimated_amount": 9.79
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3.7,
              "estimated_amount": 3.7
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 25.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 4.73,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 4.78,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 4.73,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 4.78,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 16.5
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 4.73,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 4.97,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 30,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.74,
              "estimated_amount": 17.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 15
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 21.9
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 4.73,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 4.73,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.79,
              "estimated_amount": 9.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.79,
              "estimated_amount": 9.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.74,
              "estimated_amount": 17.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.74,
              "estimated_amount": 17.74
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3.7,
              "estimated_amount": 3.7
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 25.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 13.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 16.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 16.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 4.73,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 4.78,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 30,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 21.9
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 21.9
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 30
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 13.5
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.28,
              "estimated_amount": 6.28
            }
          ],
          "minimum": 3.7,
          "maximum": 17.74
        }
      ]
    },
    {
      "description": "HC B Cells Total Count",
      "code_information": [
        {
          "code": "PX-30200052",
          "type": "CDM"
        },
        {
          "code": "86355",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 580,
          "discounted_cash": 377,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 366.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 475.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 319
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 37.73,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 38.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 37.73,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 38.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 493
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 372.36
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 377.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 372.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 141.49,
              "estimated_amount": 141.49
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 423.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 508.66
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 37.73,
              "estimated_amount": 37.73
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 37.73,
              "estimated_amount": 37.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 366.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 366.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 475.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 475.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 319
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 510.4
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 423.4
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 37.73,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 37.73,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 37.73,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 37.73,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 443.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 372.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 141.49,
              "estimated_amount": 141.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 141.49,
              "estimated_amount": 141.49
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 55.72,
              "estimated_amount": 55.72
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 435
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 475.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 475.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 319
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 480.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 366.56
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 37.73,
              "estimated_amount": 37.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 372.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 443.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 372.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 372.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 141.49,
              "estimated_amount": 141.49
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 377.58
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 423.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 321.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 319
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 37.73,
              "estimated_amount": 37.73
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 475.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 475.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 37.73,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 38.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 493
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 372.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 141.49,
              "estimated_amount": 141.49
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 469.22
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 493
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 443.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 141.49,
              "estimated_amount": 141.49
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 423.4
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 493
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 377
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 493
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 366.56
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 319
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 37.73,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 38.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 366.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 366.56
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 580,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 37.73,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 39.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 55.72,
              "estimated_amount": 55.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 372.36
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 469.22
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 321.9
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 55.72,
              "estimated_amount": 55.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 443.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 443.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 141.49,
              "estimated_amount": 141.49
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 321.9
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 158.34
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 37.73,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 39.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 435
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 480.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 141.49,
              "estimated_amount": 141.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 141.49,
              "estimated_amount": 141.49
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 580
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 493
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 372.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 372.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 141.49,
              "estimated_amount": 141.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 141.49,
              "estimated_amount": 141.49
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 377.58
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 37.73,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 37.73,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 493
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 493
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 508.66
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 319
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 480.82
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 37.73,
              "estimated_amount": 37.73
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 37.73,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 39.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 493
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 37.73,
              "estimated_amount": 37.73
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 37.73,
              "estimated_amount": 37.73
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 37.73,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 38.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 377.58
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 423.4
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 493
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 443.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 141.49,
              "estimated_amount": 141.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 141.49,
              "estimated_amount": 141.49
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 493
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 493
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 475.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 366.56
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 319
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 580,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 493
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 141.49,
              "estimated_amount": 141.49
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 377.58
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 382.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 372.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 372.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 141.49,
              "estimated_amount": 141.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 141.49,
              "estimated_amount": 141.49
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 580,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 141.49,
              "estimated_amount": 141.49
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 423.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 321.9
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 435
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 493
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 37.73,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 39.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            }
          ],
          "minimum": 37.73,
          "maximum": 141.49
        }
      ]
    },
    {
      "description": "HC Mononuclear Cell Ag Quant Nos Ea",
      "code_information": [
        {
          "code": "PX-30200053",
          "type": "CDM"
        },
        {
          "code": "86356",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 276,
          "discounted_cash": 179.4,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 174.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 242.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 226.32
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 26.78,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 27.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 177.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 223.28
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 201.48
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 179.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 210.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 177.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 100.43,
              "estimated_amount": 100.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 223.28
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 234.6
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 234.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 26.78,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 27.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 26.78,
              "estimated_amount": 26.78
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 26.78,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 28.12,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 174.43
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 26.78,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 28.12,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 234.6
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 234.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 100.43,
              "estimated_amount": 100.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 100.43,
              "estimated_amount": 100.43
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 75.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 100.43,
              "estimated_amount": 100.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 179.68
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 234.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 226.32
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 26.78,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 27.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 26.78,
              "estimated_amount": 26.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 174.43
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 226.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 151.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 100.43,
              "estimated_amount": 100.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 100.43,
              "estimated_amount": 100.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 177.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 100.43,
              "estimated_amount": 100.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 179.68
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 201.48
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 26.78,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 26.78,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 153.18
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 234.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 226.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 151.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 151.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 174.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 174.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 210.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 177.19
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 182.16
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 234.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 174.43
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 226.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 226.32
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 242.88
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 234.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 100.43,
              "estimated_amount": 100.43
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 201.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 179.68
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 234.6
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 234.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 151.8
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 26.78,
              "estimated_amount": 26.78
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 26.78,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 28.12,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 228.8
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 26.78,
              "estimated_amount": 26.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 100.43,
              "estimated_amount": 100.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 100.43,
              "estimated_amount": 100.43
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 234.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 179.68
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 201.48
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 153.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 210.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 177.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 210.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 177.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 210.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 100.43,
              "estimated_amount": 100.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 100.43,
              "estimated_amount": 100.43
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 201.48
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 38.11,
              "estimated_amount": 38.11
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 38.11,
              "estimated_amount": 38.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 174.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 242.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 226.32
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 26.78,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 27.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 26.78,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 27.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 228.8
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 26.78,
              "estimated_amount": 26.78
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 179.68
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 201.48
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 276
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 234.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 177.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 177.19
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 26.78,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 26.78,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 207
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 151.8
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 228.8
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 26.78,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 28.12,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 38.11,
              "estimated_amount": 38.11
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 151.8
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 26.78,
              "estimated_amount": 26.78
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 207
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 210.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 177.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 177.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 177.19
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 207
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 177.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 100.43,
              "estimated_amount": 100.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 100.43,
              "estimated_amount": 100.43
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 26.78,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 26.78,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 153.18
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 153.18
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 234.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 174.43
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 226.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 151.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 100.43,
              "estimated_amount": 100.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 100.43,
              "estimated_amount": 100.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 100.43,
              "estimated_amount": 100.43
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 234.6
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 26.78,
              "estimated_amount": 26.78
            }
          ],
          "minimum": 26.78,
          "maximum": 100.43
        }
      ]
    },
    {
      "description": "Skin Test TB Intradermal Sendout",
      "code_information": [
        {
          "code": "PX-30200067",
          "type": "CDM"
        },
        {
          "code": "86580",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 101,
          "discounted_cash": 65.65,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 63.83
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 55.55
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 101,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 64.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 64.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 93.6,
              "estimated_amount": 93.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 93.6,
              "estimated_amount": 93.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 81.71
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 85.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 64.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 64.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 93.6,
              "estimated_amount": 93.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 93.6,
              "estimated_amount": 93.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 88.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 82.82
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 26.25,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 83.73
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 26.25,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 101,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 26.25,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 101,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 85.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 93.6,
              "estimated_amount": 93.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 93.6,
              "estimated_amount": 93.6
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 66.66
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 85.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 64.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 93.6,
              "estimated_amount": 93.6
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.33,
              "estimated_amount": 5.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 63.83
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 27.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 83.73
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 82.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 55.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 55.55
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 28.61,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 88.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 93.6,
              "estimated_amount": 93.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 81.71
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 56.06
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 85.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 85.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 64.84
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 27.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 88.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 64.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 64.84
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 27.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 77.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 64.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 93.6,
              "estimated_amount": 93.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 65.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 56.06
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 56.06
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 75.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 63.83
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 27.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 28.61,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 28.61,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 85.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 82.82
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 83.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 77.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 93.6,
              "estimated_amount": 93.6
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 85.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 77.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 77.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 93.6,
              "estimated_amount": 93.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 65.75
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 73.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 73.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 73.73
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 82.82
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 26.25,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 26.25,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.33,
              "estimated_amount": 5.33
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 28.61,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 73.73
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 27.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 27.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 27.57
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 65.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 64.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 64.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 93.6,
              "estimated_amount": 93.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 93.6,
              "estimated_amount": 93.6
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 73.73
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 85.85
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.33,
              "estimated_amount": 5.33
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 85.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 63.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 63.83
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 27.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 63.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 63.83
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 55.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 55.55
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 27.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 75.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 64.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 77.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 93.6,
              "estimated_amount": 93.6
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 73.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 93.6,
              "estimated_amount": 93.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 65.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 56.06
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 75.75
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 85.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 63.83
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 82.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 82.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 82.82
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 27.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 27.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 85.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 82.82
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 85.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 93.6,
              "estimated_amount": 93.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 65.75
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 85.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 77.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 93.6,
              "estimated_amount": 93.6
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 85.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 55.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 65.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 101
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 55.55
            }
          ],
          "minimum": 5.33,
          "maximum": 93.6
        }
      ]
    },
    {
      "description": "HC Blastomyces Antibody",
      "code_information": [
        {
          "code": "PX-30200073",
          "type": "CDM"
        },
        {
          "code": "86612",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 189,
          "discounted_cash": 122.85,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 165.75
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.9,
              "estimated_amount": 12.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 144.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 121.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 121.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 48.38,
              "estimated_amount": 48.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 48.38,
              "estimated_amount": 48.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 48.38,
              "estimated_amount": 48.38
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 123.04
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 12.9,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 12.9,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 144.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 152.9
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 51.6
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.86,
              "estimated_amount": 18.86
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 160.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 12.9,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.03,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 12.9,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.03,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 154.98
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 103.95
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 12.9,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 121.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 48.38,
              "estimated_amount": 48.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 48.38,
              "estimated_amount": 48.38
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 189
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.86,
              "estimated_amount": 18.86
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 160.65
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 137.97
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 141.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 103.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 103.95
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 12.9,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 154.98
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 103.95
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.9,
              "estimated_amount": 12.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 123.04
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 12.9,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 12.9,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 160.65
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 137.97
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 137.97
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 104.9
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 160.65
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 160.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 119.45
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 156.68
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 189,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.86,
              "estimated_amount": 18.86
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 166.32
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 160.65
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.9,
              "estimated_amount": 12.9
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 12.9,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 48.38,
              "estimated_amount": 48.38
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 104.9
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 160.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 144.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 121.34
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 137.97
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 154.98
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 154.98
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 103.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 103.95
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.9,
              "estimated_amount": 12.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 121.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 123.04
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 137.97
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 160.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 121.34
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 137.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 119.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 119.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 103.95
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.9,
              "estimated_amount": 12.9
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 12.9,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 48.38,
              "estimated_amount": 48.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 48.38,
              "estimated_amount": 48.38
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 160.65
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 160.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 141.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 121.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 152.9
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 12.9,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 12.9,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 160.65
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 122.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 154.98
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 189,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 121.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 48.38,
              "estimated_amount": 48.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 48.38,
              "estimated_amount": 48.38
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 160.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 144.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 121.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 48.38,
              "estimated_amount": 48.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 48.38,
              "estimated_amount": 48.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 48.38,
              "estimated_amount": 48.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 48.38,
              "estimated_amount": 48.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 48.38,
              "estimated_amount": 48.38
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 104.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 119.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 165.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 154.98
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 154.98
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 12.9,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.03,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 156.68
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 189,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 141.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 119.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 119.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 119.45
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.9,
              "estimated_amount": 12.9
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.9,
              "estimated_amount": 12.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 144.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 144.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 121.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 48.38,
              "estimated_amount": 48.38
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 123.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 121.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 123.04
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 104.9
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 124.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 119.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 154.98
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 12.9,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.03,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 156.68
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 160.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 121.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 48.38,
              "estimated_amount": 48.38
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 160.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 12.9,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.03,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            }
          ],
          "minimum": 12.9,
          "maximum": 48.38
        }
      ]
    },
    {
      "description": "HC Coccidioides Antibody",
      "code_information": [
        {
          "code": "PX-30200083",
          "type": "CDM"
        },
        {
          "code": "86635",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 200,
          "discounted_cash": 130,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 126.4
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.47,
              "estimated_amount": 11.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 128.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 111
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 170
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 128.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 152.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 43.01,
              "estimated_amount": 43.01
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.75,
              "estimated_amount": 16.75
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.47,
              "estimated_amount": 11.47
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 164
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 11.47,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 12.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 11.47,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 11.58,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 170
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 43.01,
              "estimated_amount": 43.01
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 111
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 170
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 128.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 128.4
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 146
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 170
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 150
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 175.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 164
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 11.47,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 12.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 126.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 126.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 164
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 164
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 110
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 110
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.47,
              "estimated_amount": 11.47
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 11.47,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 12.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 128.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 43.01,
              "estimated_amount": 43.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 161.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 130.2
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 11.47,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 11.47,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 11.47,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 11.47,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 152.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 152.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 43.01,
              "estimated_amount": 43.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 130.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 111
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 132
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 165.8
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.75,
              "estimated_amount": 16.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 126.4
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 11.47,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 12.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 152.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 43.01,
              "estimated_amount": 43.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 161.8
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 170
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 128.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 43.01,
              "estimated_amount": 43.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 130.2
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 170
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 126.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 11.47,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 11.58,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 110
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 128.4
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 146
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 130
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 128.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 43.01,
              "estimated_amount": 43.01
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 110
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 110
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 11.47,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 11.58,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.47,
              "estimated_amount": 11.47
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 176
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 170
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 164
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 165.8
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 165.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 152.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 152.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 43.01,
              "estimated_amount": 43.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 43.01,
              "estimated_amount": 43.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 43.01,
              "estimated_amount": 43.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 43.01,
              "estimated_amount": 43.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 130.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 200
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 170
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.75,
              "estimated_amount": 16.75
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 170
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 43.01,
              "estimated_amount": 43.01
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 170
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 164
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 126.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 164
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 11.47,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 11.58,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 170
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 43.01,
              "estimated_amount": 43.01
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 146
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 43.01,
              "estimated_amount": 43.01
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 146
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 170
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.47,
              "estimated_amount": 11.47
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 170
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 126.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 110
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 150
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 43.01,
              "estimated_amount": 43.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 130.2
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 146
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 170
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 150
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 128.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 128.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 111
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 11.47,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 11.47,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 175.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 126.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 164
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 128.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 128.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 43.01,
              "estimated_amount": 43.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 43.01,
              "estimated_amount": 43.01
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 146
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 54.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 110
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 11.47,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 11.58,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.47,
              "estimated_amount": 11.47
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.47,
              "estimated_amount": 11.47
            }
          ],
          "minimum": 11.47,
          "maximum": 43.01
        }
      ]
    },
    {
      "description": "HC Encephalitis California Antibody So",
      "code_information": [
        {
          "code": "PX-30200088",
          "type": "CDM"
        },
        {
          "code": "86651",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 67,
          "discounted_cash": 43.55,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 42.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 58.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 54.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 43.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 43.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 43.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 43.62
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 56.95
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 56.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 51.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 43.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 43.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 49.46,
              "estimated_amount": 49.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 43.62
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 43.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 36.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 36.85
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.19,
              "estimated_amount": 13.19
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 55.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 49.46,
              "estimated_amount": 49.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 43.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 49.46,
              "estimated_amount": 49.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 49.46,
              "estimated_amount": 49.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 49.46,
              "estimated_amount": 49.46
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 48.91
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 13.19,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 56.95
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.77,
              "estimated_amount": 18.77
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 55.54
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.19,
              "estimated_amount": 13.19
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 13.19,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 56.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 43.62
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 48.91
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 13.19,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 54.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 37.19
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 13.19,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.85,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 42.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 54.94
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 36.85
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.19,
              "estimated_amount": 13.19
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 67,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 13.19,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.85,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 67,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 67
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 56.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 49.46,
              "estimated_amount": 49.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 49.46,
              "estimated_amount": 49.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 49.46,
              "estimated_amount": 49.46
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 37.19
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 56.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 54.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 54.94
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 55.54
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.19,
              "estimated_amount": 13.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 42.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 42.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 54.94
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 13.19,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.19,
              "estimated_amount": 13.19
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 56.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 51.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 51.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 43.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 43.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 49.46,
              "estimated_amount": 49.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 43.62
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 37.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 51.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 51.19
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 50.25
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 44.22
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 58.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 58.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 54.94
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 36.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 43.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 51.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 49.46,
              "estimated_amount": 49.46
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 13.19,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.77,
              "estimated_amount": 18.77
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 56.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 43.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 43.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 49.46,
              "estimated_amount": 49.46
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 48.91
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 50.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 36.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 36.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 54.94
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.19,
              "estimated_amount": 13.19
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 50.25
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 56.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 43.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 49.46,
              "estimated_amount": 49.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 49.46,
              "estimated_amount": 49.46
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 48.91
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 56.95
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 56.95
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.77,
              "estimated_amount": 18.77
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 13.19,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 56.95
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 56.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 42.34
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 13.19,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 42.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 54.94
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 67,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 43.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 49.46,
              "estimated_amount": 49.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 49.46,
              "estimated_amount": 49.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 49.46,
              "estimated_amount": 49.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 49.46,
              "estimated_amount": 49.46
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 48.91
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 48.91
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 37.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 42.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 42.34
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 36.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 13.19,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 54.2
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 18.29
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 56.95
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.19,
              "estimated_amount": 13.19
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 13.19,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.85,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 13.19,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.85,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            }
          ],
          "minimum": 13.19,
          "maximum": 49.46
        }
      ]
    },
    {
      "description": "HC Ebv Nuclear Antigen Ebna",
      "code_information": [
        {
          "code": "PX-30200094",
          "type": "CDM"
        },
        {
          "code": "86664",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 164,
          "discounted_cash": 106.6,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 143.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 103.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 103.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 134.48
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.29,
              "estimated_amount": 15.29
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 15.29,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 15.44,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 105.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 132.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 105.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 105.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 57.34,
              "estimated_amount": 57.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 57.34,
              "estimated_amount": 57.34
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 119.72
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 15.29,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 15.29,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 108.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 103.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 125.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 57.34,
              "estimated_amount": 57.34
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 91.02
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 15.29,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 15.29,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 123
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 105.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 57.34,
              "estimated_amount": 57.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 57.34,
              "estimated_amount": 57.34
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 106.6
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 123
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 134.48
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 90.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 90.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 103.65
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 15.29,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 139.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 57.34,
              "estimated_amount": 57.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 57.34,
              "estimated_amount": 57.34
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 139.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 105.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 57.34,
              "estimated_amount": 57.34
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 119.72
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 164
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 90.2
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.29,
              "estimated_amount": 15.29
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 139.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 134.48
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 90.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 15.29,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 15.44,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 125.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 105.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 106.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 106.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 125.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 57.34,
              "estimated_amount": 57.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 57.34,
              "estimated_amount": 57.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 57.34,
              "estimated_amount": 57.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 57.34,
              "estimated_amount": 57.34
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 15.29,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 15.29,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 103.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 134.48
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 90.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 135.96
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.09,
              "estimated_amount": 20.09
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 144.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 134.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 125.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 105.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 132.68
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 119.72
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 91.02
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 139.4
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.09,
              "estimated_amount": 20.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 57.34,
              "estimated_amount": 57.34
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 119.72
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 119.72
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 139.4
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.29,
              "estimated_amount": 15.29
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.29,
              "estimated_amount": 15.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 103.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 134.48
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 90.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 105.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 57.34,
              "estimated_amount": 57.34
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 139.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 106.76
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.09,
              "estimated_amount": 20.09
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 139.4
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 139.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 106.76
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 139.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 103.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 15.29,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 15.44,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 143.83
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 134.48
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 90.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 15.29,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 15.44,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.29,
              "estimated_amount": 15.29
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 164,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 105.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 125.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 91.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 105.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 125.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 57.34,
              "estimated_amount": 57.34
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 44.77
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 139.4
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 135.96
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.29,
              "estimated_amount": 15.29
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 15.29,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 105.29
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 139.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 105.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 57.34,
              "estimated_amount": 57.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 57.34,
              "estimated_amount": 57.34
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 91.02
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 139.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 103.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 15.29,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 15.44,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.29,
              "estimated_amount": 15.29
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 15.29,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 106.76
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 119.72
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 139.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 134.48
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 135.96
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 15.29,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 164,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 164,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 139.4
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 123
            }
          ],
          "minimum": 15.29,
          "maximum": 57.34
        }
      ]
    },
    {
      "description": "Haemophilus Influenza Antibody Sendout",
      "code_information": [
        {
          "code": "PX-30200101",
          "type": "CDM"
        },
        {
          "code": "86684",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 68,
          "discounted_cash": 44.2,
          "minimum": 13.58,
          "maximum": 59.4,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.63,
              "estimated_amount": 18.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 55.76
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 15.84,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16.63,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.98,
              "estimated_amount": 18.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.4,
              "estimated_amount": 59.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.56,
              "estimated_amount": 20.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.56,
              "estimated_amount": 20.56
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 57.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.4,
              "estimated_amount": 59.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.58,
              "estimated_amount": 13.58
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.84,
              "estimated_amount": 15.84
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 57.8
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.56,
              "estimated_amount": 20.56
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.56,
              "estimated_amount": 20.56
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 15.84,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 57.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 68,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 55.76
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.84,
              "estimated_amount": 15.84
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.84,
              "estimated_amount": 15.84
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 57.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.4,
              "estimated_amount": 59.4
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 15.84,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 15.84,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.84,
              "estimated_amount": 15.84
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 44.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.98,
              "estimated_amount": 18.98
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 25,
              "estimated_amount": 17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 68,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 55.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 55.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 55.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 55.76
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 15.84,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16.63,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 37.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 15.84,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.75,
              "estimated_amount": 19.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.4,
              "estimated_amount": 59.4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 57.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.4,
              "estimated_amount": 59.4
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 49.64
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.58,
              "estimated_amount": 13.58
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 15.84,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 15.84,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 57.8
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 23.15,
              "estimated_amount": 23.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 68,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 37.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.75,
              "estimated_amount": 19.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.75,
              "estimated_amount": 19.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.98,
              "estimated_amount": 18.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.56,
              "estimated_amount": 20.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.56,
              "estimated_amount": 20.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.56,
              "estimated_amount": 20.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 15.84,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 15.84,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.4,
              "estimated_amount": 59.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.4,
              "estimated_amount": 59.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.56,
              "estimated_amount": 20.56
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 49.64
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 49.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 68,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 55.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 68,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 15.84,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.56,
              "estimated_amount": 20.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.75,
              "estimated_amount": 19.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.75,
              "estimated_amount": 19.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.75,
              "estimated_amount": 19.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.98,
              "estimated_amount": 18.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.4,
              "estimated_amount": 59.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.58,
              "estimated_amount": 13.58
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 57.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 68,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.84,
              "estimated_amount": 15.84
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 57.8
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.84,
              "estimated_amount": 15.84
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.84,
              "estimated_amount": 15.84
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.84,
              "estimated_amount": 15.84
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 51
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.4,
              "estimated_amount": 59.4
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 49.64
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.98,
              "estimated_amount": 18.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.4,
              "estimated_amount": 59.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.56,
              "estimated_amount": 20.56
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 49.64
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 68
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 57.8
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 57.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 37.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.63,
              "estimated_amount": 18.63
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 37.4
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.84,
              "estimated_amount": 15.84
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 15.84,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16.63,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.4,
              "estimated_amount": 59.4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 57.8
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 23.15,
              "estimated_amount": 23.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.4,
              "estimated_amount": 59.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.4,
              "estimated_amount": 59.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.4,
              "estimated_amount": 59.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 55.76
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 37.4
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 15.84,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16.63,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 59.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.75,
              "estimated_amount": 19.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.98,
              "estimated_amount": 18.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.75,
              "estimated_amount": 19.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.75,
              "estimated_amount": 19.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.58,
              "estimated_amount": 13.58
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.75,
              "estimated_amount": 19.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.75,
              "estimated_amount": 19.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.4,
              "estimated_amount": 59.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.4,
              "estimated_amount": 59.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.4,
              "estimated_amount": 59.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 68,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 68,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 37.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 37.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 15.84,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 15.84,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 23.15,
              "estimated_amount": 23.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.75,
              "estimated_amount": 19.75
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 49.64
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 57.8
            }
          ]
        }
      ]
    },
    {
      "description": "Transparent Drsg Hydrofilm 6 in X 8 In",
      "code_information": [
        {
          "code": "PX-CH-HA685761",
          "type": "CDM"
        },
        {
          "code": "A6258",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1.76,
          "discounted_cash": 1.14,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.76,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.28
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.5
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 1.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.34
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.5
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.76,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.76,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.76,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.76,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.76,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.76,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.76,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.76,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.28
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.28
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.5
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.76,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.76,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.76,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.32
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.13
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.5
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.76,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.76,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.34
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.97
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.28
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.48
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.76,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.76,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.15
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.76,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.11
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.44
            }
          ]
        }
      ]
    },
    {
      "description": "1 Pc Ctf Std Wear Deep Cvx Uro Up to 1 11/16 in Mio",
      "code_information": [
        {
          "code": "PX-CH-CO16867",
          "type": "CDM"
        },
        {
          "code": "A4392",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 11.21,
          "discounted_cash": 7.29,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.08
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.17
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.53
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.53
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.53
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.53
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 8.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.2
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.19
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.17
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.19
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.17
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 6.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.08
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.17
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 6.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.2
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 8.41
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 7.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.19
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.17
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 8.41
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 9.86
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 9.07
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.08
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 9.29
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8.18
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 9.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 9.83
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7.3
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8.18
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.53
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.19
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 9.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 11.21
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 6.22
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.53
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 3.06
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.2
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8.18
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 6.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 9.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.19
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 9.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8.18
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 7.29
            }
          ]
        }
      ]
    },
    {
      "description": "HC Thyroglobulin Antibody Tbg Ab",
      "code_information": [
        {
          "code": "PX-30200143",
          "type": "CDM"
        },
        {
          "code": "86800",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 126,
          "discounted_cash": 81.9,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 56.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 56.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 103.32
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 126,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 94.5
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 107.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.66,
              "estimated_amount": 59.66
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 91.98
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 15.91,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 15.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 107.1
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 23.24,
              "estimated_amount": 23.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 56.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 69.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 69.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 15.91,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16.07,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 56.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 15.91,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16.07,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 63
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 126,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.65,
              "estimated_amount": 12.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.16,
              "estimated_amount": 13.16
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.65,
              "estimated_amount": 13.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.65,
              "estimated_amount": 12.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.66,
              "estimated_amount": 59.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 63
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 63
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 63
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 25,
              "estimated_amount": 31.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 107.1
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 107.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 15.91,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16.07,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 15.91,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16.07,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 63
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 107.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 56.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 103.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 69.3
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 15.91,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16.71,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.66,
              "estimated_amount": 59.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.66,
              "estimated_amount": 59.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.16,
              "estimated_amount": 13.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.66,
              "estimated_amount": 59.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.66,
              "estimated_amount": 59.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 63
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 107.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 56.7
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 110.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 103.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.16,
              "estimated_amount": 13.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.16,
              "estimated_amount": 13.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.16,
              "estimated_amount": 13.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.66,
              "estimated_amount": 59.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.16,
              "estimated_amount": 13.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.16,
              "estimated_amount": 13.16
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 91.98
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 107.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 103.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 69.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 69.3
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.91,
              "estimated_amount": 15.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 56.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.16,
              "estimated_amount": 13.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.66,
              "estimated_amount": 59.66
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 91.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.65,
              "estimated_amount": 13.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 63
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 91.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 56.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 56.7
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 107.1
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 107.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 69.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 69.3
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.91,
              "estimated_amount": 15.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.66,
              "estimated_amount": 59.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.66,
              "estimated_amount": 59.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 63
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 23.24,
              "estimated_amount": 23.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.65,
              "estimated_amount": 12.65
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 91.98
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 15.91,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 15.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 81.9
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 107.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 56.7
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.91,
              "estimated_amount": 15.91
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 103.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 103.32
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.91,
              "estimated_amount": 15.91
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 23.24,
              "estimated_amount": 23.24
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 126,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.16,
              "estimated_amount": 13.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.16,
              "estimated_amount": 13.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.66,
              "estimated_amount": 59.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.66,
              "estimated_amount": 59.66
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 91.98
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 94.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.65,
              "estimated_amount": 12.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.66,
              "estimated_amount": 59.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.66,
              "estimated_amount": 59.66
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 107.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 103.32
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 63
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 15.91,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16.71,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 15.91,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16.07,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 107.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 103.32
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.91,
              "estimated_amount": 15.91
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.91,
              "estimated_amount": 15.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.16,
              "estimated_amount": 13.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.65,
              "estimated_amount": 12.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.65,
              "estimated_amount": 12.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.66,
              "estimated_amount": 59.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.66,
              "estimated_amount": 59.66
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 126
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.65,
              "estimated_amount": 13.65
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 107.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.16,
              "estimated_amount": 13.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.66,
              "estimated_amount": 59.66
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 15.91,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 15.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.65,
              "estimated_amount": 13.65
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 15.91,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16.71,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 107.1
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 83.16
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.91,
              "estimated_amount": 15.91
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 15.91,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 16.71,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 94.5
            }
          ],
          "minimum": 12.65,
          "maximum": 59.66
        }
      ]
    },
    {
      "description": "HC Ide G160144 Toba II Btk Nitinol Tacks",
      "code_information": [
        {
          "code": "PX-62400187",
          "type": "CDM"
        },
        {
          "code": "C1889",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1,
          "discounted_cash": 0.65,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Ferritin So",
      "code_information": [
        {
          "code": "PX-30101263",
          "type": "CDM"
        },
        {
          "code": "82728",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 246,
          "discounted_cash": 159.9,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 155.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 155.47
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 201.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 157.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 51.11,
              "estimated_amount": 51.11
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 136.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 157.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 187.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 157.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 187.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 51.11,
              "estimated_amount": 51.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 51.11,
              "estimated_amount": 51.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 160.15
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 136.53
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 136.53
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 209.1
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 209.1
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.91,
              "estimated_amount": 19.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 155.47
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 201.72
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 135.3
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 203.93
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 13.63,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.77,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 155.47
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 135.3
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 13.63,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 14.31,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 179.58
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 179.58
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.91,
              "estimated_amount": 19.91
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 179.58
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 246
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 67.16
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 209.1
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 209.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 135.3
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 203.93
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 13.63,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 14.31,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.91,
              "estimated_amount": 19.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 187.94
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 179.58
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 184.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 187.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 157.93
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 136.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 155.47
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.63,
              "estimated_amount": 13.63
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 209.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 201.72
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 13.63,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 14.31,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 51.11,
              "estimated_amount": 51.11
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 13.63,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.63,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 209.1
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 209.1
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 209.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 187.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 51.11,
              "estimated_amount": 51.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 51.11,
              "estimated_amount": 51.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 199.01
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 209.1
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 162.36
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 201.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 201.72
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 135.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 13.63,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.77,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 203.93
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 209.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 13.63,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.77,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 246,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 157.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 199.01
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 179.58
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 179.58
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 13.63,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.63,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 157.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 51.11,
              "estimated_amount": 51.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 160.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 160.15
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 159.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 201.72
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 135.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 51.11,
              "estimated_amount": 51.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 157.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 51.11,
              "estimated_amount": 51.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 160.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 135.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 13.63,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.77,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.63,
              "estimated_amount": 13.63
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 13.63,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 14.31,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 209.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 155.47
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.63,
              "estimated_amount": 13.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 157.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 187.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 51.11,
              "estimated_amount": 51.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 51.11,
              "estimated_amount": 51.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 160.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 157.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 157.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 157.93
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 13.63,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.63,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 215.74
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 135.3
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.63,
              "estimated_amount": 13.63
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 246,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 215.74
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 201.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 201.72
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 13.63,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 13.77,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.63,
              "estimated_amount": 13.63
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.63,
              "estimated_amount": 13.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 51.11,
              "estimated_amount": 51.11
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 209.1
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 184.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 51.11,
              "estimated_amount": 51.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 51.11,
              "estimated_amount": 51.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 51.11,
              "estimated_amount": 51.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 155.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 155.47
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 216.48
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 184.5
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 246,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 209.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 157.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 51.11,
              "estimated_amount": 51.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 51.11,
              "estimated_amount": 51.11
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 209.1
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.63,
              "estimated_amount": 13.63
            }
          ],
          "minimum": 13.63,
          "maximum": 51.11
        }
      ]
    },
    {
      "description": "Foam Drsg Adhesive Biatain 9 in X 9 in Sacral",
      "code_information": [
        {
          "code": "PX-CH-SW3485",
          "type": "CDM"
        },
        {
          "code": "A6213",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 16.06,
          "discounted_cash": 10.44,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 14.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.06,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.06,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.06,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13.17
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13.17
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13.17
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.31
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.06,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11.72
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11.72
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.06,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 12.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13.17
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13.17
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.06,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.65
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.83
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.06,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.06,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.06,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 12.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.06,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13.17
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.83
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.83
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.06,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.06,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 12.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.15
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.06,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.06,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 14.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.06,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 8.91
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 8.91
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.65
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.06,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10.46
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11.72
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 8.91
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.06,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 16.06
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 8.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.06,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.06,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13.17
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 13.31
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.06,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 12.99
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10.46
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.06,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.06,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 4.38
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.06,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.06,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.06,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.06,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.06,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.06,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 13.31
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 13.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.06,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11.72
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.06,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.65
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 16.06,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.65
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 10.6
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.06,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.06,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 14.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.06,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11.72
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.06,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.06,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10.46
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 12.05
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 16.06,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.06,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.06,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.06,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10.46
            }
          ]
        }
      ]
    },
    {
      "description": "Mediplanner Pill Holder Pull Out",
      "code_information": [
        {
          "code": "PX-CH-AX70027L",
          "type": "CDM"
        },
        {
          "code": "A4554",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 5.43,
          "discounted_cash": 3.53,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.43
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.99
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.45
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.96
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1.48
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.62
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.99
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 3.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4.39
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.96
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.43
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.99
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.99
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.62
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.43
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.99
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.62
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.49
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.53
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.96
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4.39
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.96
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.43
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.99
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.43
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.5
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.53
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.96
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 5.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.15
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.62
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.62
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 4.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.45
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.49
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.53
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.62
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.53
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.62
            }
          ]
        }
      ]
    },
    {
      "description": "2 Pc Ctf Ext Wear Up to 4 in Sur-Fit",
      "code_information": [
        {
          "code": "PX-CH-CV4019-05",
          "type": "CDM"
        },
        {
          "code": "A4410",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 16.53,
          "discounted_cash": 10.74,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 14.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13.55
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10.76
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 10.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10.76
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 12.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 14.5
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9.09
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.05
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12.07
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13.55
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 12.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10.76
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 9.17
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 4.51
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9.09
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9.09
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.45
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10.76
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12.07
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.05
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.45
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12.07
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13.55
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 13.7
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.05
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9.09
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 13.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12.63
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 16.53
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 9.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12.07
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 9.17
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.05
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 16.53,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 12.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.45
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10.76
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 13.37
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13.55
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 14.55
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9.09
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 13.7
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12.07
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12.07
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 13.37
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9.09
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9.09
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 16.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 9.17
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 16.53,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10.45
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 16.53,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Rickettsia Antibody",
      "code_information": [
        {
          "code": "PX-30200501",
          "type": "CDM"
        },
        {
          "code": "86757",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 162,
          "discounted_cash": 105.3,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 72.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 132.84
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 89.1
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 28.29,
              "estimated_amount": 28.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.95,
              "estimated_amount": 18.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.95,
              "estimated_amount": 18.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 72.56,
              "estimated_amount": 72.56
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 137.7
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 106.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.22,
              "estimated_amount": 18.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 72.56,
              "estimated_amount": 72.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.61,
              "estimated_amount": 16.61
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 19.35,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 19.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 105.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 89.1
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.35,
              "estimated_amount": 19.35
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 137.7
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 137.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 72.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 132.84
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 19.35,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 20.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.35,
              "estimated_amount": 19.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 72.56,
              "estimated_amount": 72.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 72.56,
              "estimated_amount": 72.56
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 118.26
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 137.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 72.56,
              "estimated_amount": 72.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 72.56,
              "estimated_amount": 72.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 72.56,
              "estimated_amount": 72.56
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 118.26
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 137.7
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 137.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 72.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 19.35,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 19.54,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 81
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 19.35,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 19.54,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 132.84
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 19.35,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 20.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.95,
              "estimated_amount": 18.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.22,
              "estimated_amount": 18.22
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 137.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 72.56,
              "estimated_amount": 72.56
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 118.26
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.61,
              "estimated_amount": 16.61
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 137.7
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 25,
              "estimated_amount": 40.5
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 28.29,
              "estimated_amount": 28.29
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.35,
              "estimated_amount": 19.35
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 121.5
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 137.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.95,
              "estimated_amount": 18.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.22,
              "estimated_amount": 18.22
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 81
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 118.26
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.61,
              "estimated_amount": 16.61
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 118.26
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 137.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 19.35,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 19.54,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.35,
              "estimated_amount": 19.35
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.95,
              "estimated_amount": 18.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 72.56,
              "estimated_amount": 72.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 72.56,
              "estimated_amount": 72.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 19.35,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 19.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 19.35,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 19.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.22,
              "estimated_amount": 18.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.95,
              "estimated_amount": 18.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 72.56,
              "estimated_amount": 72.56
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 118.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 72.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 132.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 132.84
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 89.1
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 19.35,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 20.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 72.56,
              "estimated_amount": 72.56
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 121.5
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 137.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.95,
              "estimated_amount": 18.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.95,
              "estimated_amount": 18.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.95,
              "estimated_amount": 18.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.95,
              "estimated_amount": 18.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 81
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 28.29,
              "estimated_amount": 28.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 72.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 89.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 19.35,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 19.54,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 19.35,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 20.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 142.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 132.84
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 89.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 89.1
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.35,
              "estimated_amount": 19.35
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.22,
              "estimated_amount": 18.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.95,
              "estimated_amount": 18.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.95,
              "estimated_amount": 18.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 81
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 162
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 72.56,
              "estimated_amount": 72.56
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 137.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 72.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 89.1
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 137.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 72.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 72.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 72.56,
              "estimated_amount": 72.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 81
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 121.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.22,
              "estimated_amount": 18.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 72.56,
              "estimated_amount": 72.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 81
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.61,
              "estimated_amount": 16.61
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 137.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 72.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 72.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 132.84
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.35,
              "estimated_amount": 19.35
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.35,
              "estimated_amount": 19.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 72.56,
              "estimated_amount": 72.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 72.56,
              "estimated_amount": 72.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 132.84
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 19.35,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 19.54,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            }
          ],
          "minimum": 16.61,
          "maximum": 72.56
        }
      ]
    },
    {
      "description": "H Pylori Antigen Stool Sendout",
      "code_information": [
        {
          "code": "PX-30200546",
          "type": "CDM"
        },
        {
          "code": "87338",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 170,
          "discounted_cash": 110.5,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 170,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.48,
              "estimated_amount": 12.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.98,
              "estimated_amount": 12.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 53.93,
              "estimated_amount": 53.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 53.93,
              "estimated_amount": 53.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.67,
              "estimated_amount": 18.67
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.38,
              "estimated_amount": 14.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 53.93,
              "estimated_amount": 53.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 53.93,
              "estimated_amount": 53.93
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 144.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.98,
              "estimated_amount": 12.98
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 14.38,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 14.38,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.02,
              "estimated_amount": 21.02
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.67,
              "estimated_amount": 18.67
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 139.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 139.4
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.38,
              "estimated_amount": 14.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.98,
              "estimated_amount": 12.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 53.93,
              "estimated_amount": 53.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.67,
              "estimated_amount": 18.67
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.67,
              "estimated_amount": 18.67
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 124.1
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 144.5
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 127.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.48,
              "estimated_amount": 12.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.48,
              "estimated_amount": 12.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.98,
              "estimated_amount": 12.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 53.93,
              "estimated_amount": 53.93
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 144.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.91,
              "estimated_amount": 16.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 170,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 139.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 139.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 93.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.67,
              "estimated_amount": 18.67
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.67,
              "estimated_amount": 18.67
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 14.38,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 15.1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.98,
              "estimated_amount": 12.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 53.93,
              "estimated_amount": 53.93
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 124.1
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 124.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.33,
              "estimated_amount": 12.33
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 14.38,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 14.38,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 144.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 53.93,
              "estimated_amount": 53.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 53.93,
              "estimated_amount": 53.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 53.93,
              "estimated_amount": 53.93
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.33,
              "estimated_amount": 12.33
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.33,
              "estimated_amount": 12.33
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 144.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 144.5
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 110.5
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 14.38,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 15.1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 170,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 139.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 139.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 93.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 93.5
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 14.38,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 15.1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 53.93,
              "estimated_amount": 53.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.98,
              "estimated_amount": 12.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.48,
              "estimated_amount": 12.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.98,
              "estimated_amount": 12.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.48,
              "estimated_amount": 12.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.67,
              "estimated_amount": 18.67
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.67,
              "estimated_amount": 18.67
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 170,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 170,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 14.38,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 14.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 14.38,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 14.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.02,
              "estimated_amount": 21.02
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 144.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 53.93,
              "estimated_amount": 53.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 53.93,
              "estimated_amount": 53.93
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 149.6
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 144.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.67,
              "estimated_amount": 18.67
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.38,
              "estimated_amount": 14.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.48,
              "estimated_amount": 12.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.98,
              "estimated_amount": 12.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.98,
              "estimated_amount": 12.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 53.93,
              "estimated_amount": 53.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 53.93,
              "estimated_amount": 53.93
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 124.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 170
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 144.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 170,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 14.38,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 14.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.38,
              "estimated_amount": 14.38
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.38,
              "estimated_amount": 14.38
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 14.38,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 14.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 53.93,
              "estimated_amount": 53.93
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 124.1
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 25,
              "estimated_amount": 42.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 144.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.98,
              "estimated_amount": 12.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.98,
              "estimated_amount": 12.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 53.93,
              "estimated_amount": 53.93
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 14.38,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 14.38,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 144.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.91,
              "estimated_amount": 16.91
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 14.38,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 15.1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 170,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 170,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 139.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 93.5
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.38,
              "estimated_amount": 14.38
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 127.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.98,
              "estimated_amount": 12.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.67,
              "estimated_amount": 18.67
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 124.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.33,
              "estimated_amount": 12.33
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 127.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 93.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 93.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 14.38,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 14.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 144.5
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.38,
              "estimated_amount": 14.38
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.02,
              "estimated_amount": 21.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 139.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 93.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.38,
              "estimated_amount": 14.38
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.38,
              "estimated_amount": 14.38
            }
          ],
          "minimum": 12.33,
          "maximum": 53.93
        }
      ]
    },
    {
      "description": "HC Pt/Inr",
      "code_information": [
        {
          "code": "PX-30500065",
          "type": "CDM"
        },
        {
          "code": "85610",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 36,
          "discounted_cash": 23.4,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 22.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 27.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 29.12
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.09,
              "estimated_amount": 16.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.09,
              "estimated_amount": 16.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.09,
              "estimated_amount": 16.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 29.12
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 22.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19.8
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 29.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.09,
              "estimated_amount": 16.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.09,
              "estimated_amount": 16.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 23.44
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.6
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.11
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 26.28
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 36
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 23.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 29.52
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 29.52
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 29.84
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 22.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 29.52
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 29.84
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.29,
              "estimated_amount": 4.29
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.29,
              "estimated_amount": 4.29
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.6
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 19.98
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 26.28
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 4.29,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 4.29,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 19.98
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 22.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19.8
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.29,
              "estimated_amount": 4.29
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.29,
              "estimated_amount": 4.29
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 4.29,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 4.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.09,
              "estimated_amount": 16.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.09,
              "estimated_amount": 16.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.09,
              "estimated_amount": 16.09
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 19.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 19.98
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 9.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 22.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 29.52
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 4.29,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 4.33,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.29,
              "estimated_amount": 4.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 22.75
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 23.44
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.74,
              "estimated_amount": 5.74
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 26.28
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 4.29,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 4.29,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 22.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19.8
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.09,
              "estimated_amount": 16.09
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 31.68
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 27.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 27.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.6
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 31.57
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 4.29,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 4.33,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 4.29,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 4.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 4.29,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 4.33,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 36,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 27.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.09,
              "estimated_amount": 16.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.09,
              "estimated_amount": 16.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.09,
              "estimated_amount": 16.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 23.44
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 26.28
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 4.29,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 4.29,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.09,
              "estimated_amount": 16.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.09,
              "estimated_amount": 16.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 23.44
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 26.28
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 27
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 23.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 29.52
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.29,
              "estimated_amount": 4.29
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.74,
              "estimated_amount": 5.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 31.57
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 22.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 29.52
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 4.29,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 4.33,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 4.29,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 4.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 36,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 27.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.09,
              "estimated_amount": 16.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 23.44
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 26.28
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 27.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.09,
              "estimated_amount": 16.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.09,
              "estimated_amount": 16.09
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.74,
              "estimated_amount": 5.74
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 4.29,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 4.33,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 36,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.11
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 29.52
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 29.52
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19.8
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.29,
              "estimated_amount": 4.29
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 4.29,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 4.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            }
          ],
          "minimum": 4.29,
          "maximum": 16.09
        }
      ]
    },
    {
      "description": "HC Immunochemical Fecal Occult Blood",
      "code_information": [
        {
          "code": "PX-30500077",
          "type": "CDM"
        },
        {
          "code": "G0328",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 183,
          "discounted_cash": 118.95,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 82.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 150.06
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 18.05,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 18.95,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.5,
              "estimated_amount": 25.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.7,
              "estimated_amount": 59.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 91.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 91.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.5,
              "estimated_amount": 25.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.5,
              "estimated_amount": 25.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 100.65
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.05,
              "estimated_amount": 18.05
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 18.05,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 18.95,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.05,
              "estimated_amount": 18.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 100.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.5,
              "estimated_amount": 25.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.5,
              "estimated_amount": 25.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 91.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 91.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.65,
              "estimated_amount": 13.65
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.65,
              "estimated_amount": 13.65
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 25,
              "estimated_amount": 45.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.52,
              "estimated_amount": 24.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.5,
              "estimated_amount": 25.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.5,
              "estimated_amount": 25.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.5,
              "estimated_amount": 25.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.7,
              "estimated_amount": 59.7
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 183
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 155.55
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 137.25
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 91.5
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 183,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 82.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.7,
              "estimated_amount": 59.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 91.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 155.55
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 155.55
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 155.55
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 155.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.7,
              "estimated_amount": 59.7
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 133.59
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 100.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 18.05,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 18.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.05,
              "estimated_amount": 18.05
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 18.05,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 18.95,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 18.05,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 18.95,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 183,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 82.35
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 183,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.48,
              "estimated_amount": 22.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.52,
              "estimated_amount": 24.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.7,
              "estimated_amount": 59.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.7,
              "estimated_amount": 59.7
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 155.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.52,
              "estimated_amount": 24.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.7,
              "estimated_amount": 59.7
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 133.59
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 18.05,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 18.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 91.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.05,
              "estimated_amount": 18.05
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.05,
              "estimated_amount": 18.05
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 137.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 150.06
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 100.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.52,
              "estimated_amount": 24.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.7,
              "estimated_amount": 59.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.7,
              "estimated_amount": 59.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.7,
              "estimated_amount": 59.7
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 133.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.7,
              "estimated_amount": 59.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.7,
              "estimated_amount": 59.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 91.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 82.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 82.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 18.05,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 18.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 18.05,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 18.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 100.65
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.05,
              "estimated_amount": 18.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.52,
              "estimated_amount": 24.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.5,
              "estimated_amount": 25.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.7,
              "estimated_amount": 59.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.7,
              "estimated_amount": 59.7
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 133.59
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 18.05,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 18.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.48,
              "estimated_amount": 22.48
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 118.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 91.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.65,
              "estimated_amount": 13.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 150.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 82.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 82.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 82.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 150.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 150.06
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 100.65
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.05,
              "estimated_amount": 18.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.7,
              "estimated_amount": 59.7
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 155.55
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 155.55
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 133.59
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 18.05,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 18.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 120.78
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 155.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 150.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 150.06
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 100.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 18.05,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 18.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 91.5
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 18.05,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 18.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 155.55
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 161.04
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 155.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.5,
              "estimated_amount": 25.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.5,
              "estimated_amount": 25.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.5,
              "estimated_amount": 25.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.52,
              "estimated_amount": 24.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.7,
              "estimated_amount": 59.7
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.65,
              "estimated_amount": 13.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.7,
              "estimated_amount": 59.7
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 133.59
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.48,
              "estimated_amount": 22.48
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 137.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 82.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 82.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 150.06
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 155.55
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 155.55
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 155.55
            }
          ],
          "minimum": 13.65,
          "maximum": 59.7
        }
      ]
    },
    {
      "description": "HC Culture Stool Aerobic Ssyc",
      "code_information": [
        {
          "code": "PX-30600003",
          "type": "CDM"
        },
        {
          "code": "87045",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 362,
          "discounted_cash": 235.3,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 362,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.08,
              "estimated_amount": 11.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 362,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 9.44,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 9.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.88,
              "estimated_amount": 9.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.4,
              "estimated_amount": 35.4
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 9.44,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 9.44,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.44,
              "estimated_amount": 9.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.88,
              "estimated_amount": 9.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.88,
              "estimated_amount": 9.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.4,
              "estimated_amount": 35.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.4,
              "estimated_amount": 35.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.4,
              "estimated_amount": 35.4
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.44,
              "estimated_amount": 9.44
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.44,
              "estimated_amount": 9.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 362,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 199.1
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 307.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.5,
              "estimated_amount": 9.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.88,
              "estimated_amount": 9.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.88,
              "estimated_amount": 9.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.5,
              "estimated_amount": 9.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.4,
              "estimated_amount": 35.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.4,
              "estimated_amount": 35.4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 307.7
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 307.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 362,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 362,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.08,
              "estimated_amount": 11.08
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 9.44,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 9.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 9.44,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 9.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 296.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 296.84
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.44,
              "estimated_amount": 9.44
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.44,
              "estimated_amount": 9.44
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 307.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.4,
              "estimated_amount": 35.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.4,
              "estimated_amount": 35.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.4,
              "estimated_amount": 35.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.4,
              "estimated_amount": 35.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.23,
              "estimated_amount": 12.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.23,
              "estimated_amount": 12.23
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 362
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.09,
              "estimated_amount": 8.09
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.79,
              "estimated_amount": 13.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.88,
              "estimated_amount": 9.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.5,
              "estimated_amount": 9.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 264.26
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.23,
              "estimated_amount": 12.23
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 9.44,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 9.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 362,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.23,
              "estimated_amount": 12.23
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.44,
              "estimated_amount": 9.44
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 9.44,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 9.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 307.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.88,
              "estimated_amount": 9.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.5,
              "estimated_amount": 9.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.23,
              "estimated_amount": 12.23
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 307.7
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 307.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.23,
              "estimated_amount": 12.23
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.09,
              "estimated_amount": 8.09
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.09,
              "estimated_amount": 8.09
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 9.44,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 9.44,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 9.44,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 9.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 296.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.5,
              "estimated_amount": 9.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.4,
              "estimated_amount": 35.4
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 25,
              "estimated_amount": 90.5
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.79,
              "estimated_amount": 13.79
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 271.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.88,
              "estimated_amount": 9.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.88,
              "estimated_amount": 9.88
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 264.26
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 307.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 296.84
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 199.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 199.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 362,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.44,
              "estimated_amount": 9.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.23,
              "estimated_amount": 12.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.23,
              "estimated_amount": 12.23
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 264.26
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 264.26
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 307.7
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 307.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.88,
              "estimated_amount": 9.88
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 264.26
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 264.26
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 271.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 199.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 199.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 9.44,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 9.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 318.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 362,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 296.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 296.84
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 9.44,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 9.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.23,
              "estimated_amount": 12.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.88,
              "estimated_amount": 9.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.4,
              "estimated_amount": 35.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.09,
              "estimated_amount": 8.09
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 235.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 296.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 296.84
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 199.1
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.44,
              "estimated_amount": 9.44
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 9.44,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 9.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 307.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 199.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.5,
              "estimated_amount": 9.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.88,
              "estimated_amount": 9.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.4,
              "estimated_amount": 35.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.4,
              "estimated_amount": 35.4
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 307.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.4,
              "estimated_amount": 35.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.4,
              "estimated_amount": 35.4
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.23,
              "estimated_amount": 12.23
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.79,
              "estimated_amount": 13.79
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 271.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.4,
              "estimated_amount": 35.4
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 9.44,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 9.44,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.44,
              "estimated_amount": 9.44
            }
          ],
          "minimum": 8.09,
          "maximum": 35.4
        }
      ]
    },
    {
      "description": "HC Fungi Identification Mold So",
      "code_information": [
        {
          "code": "PX-30600091",
          "type": "CDM"
        },
        {
          "code": "87107",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 147,
          "discounted_cash": 95.55,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 128.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 92.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 120.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 112.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 38.7,
              "estimated_amount": 38.7
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 107.31
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 110.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 38.7,
              "estimated_amount": 38.7
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 124.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 92.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 38.7,
              "estimated_amount": 38.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 118.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 94.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 94.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 38.7,
              "estimated_amount": 38.7
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 81.59
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 124.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 92.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 80.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 120.54
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 80.85
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 124.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 94.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 94.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 94.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 38.7,
              "estimated_amount": 38.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 118.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 94.37
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 95.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 95.7
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 107.31
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 107.31
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 124.95
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 124.95
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 124.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 92.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 120.54
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 80.85
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 110.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 128.92
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 121.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 112.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 38.7,
              "estimated_amount": 38.7
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 107.31
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 40.13
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 110.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 94.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 112.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 38.7,
              "estimated_amount": 38.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 95.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 95.7
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 81.59
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 124.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 92.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 80.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 80.85
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 129.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 112.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 94.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 38.7,
              "estimated_amount": 38.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 38.7,
              "estimated_amount": 38.7
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 107.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 94.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 38.7,
              "estimated_amount": 38.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 38.7,
              "estimated_amount": 38.7
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 81.59
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 120.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 92.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 38.7,
              "estimated_amount": 38.7
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 124.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 38.7,
              "estimated_amount": 38.7
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 124.95
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 124.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 94.37
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 147
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 80.85
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 124.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 95.7
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 95.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 38.7,
              "estimated_amount": 38.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 38.7,
              "estimated_amount": 38.7
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 124.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 92.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 120.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 94.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 94.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 112.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 38.7,
              "estimated_amount": 38.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 38.7,
              "estimated_amount": 38.7
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 81.59
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 97.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 92.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 120.54
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 80.85
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 121.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 112.31
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 107.31
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 120.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 120.54
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 121.86
            }
          ],
          "minimum": 38.7,
          "maximum": 38.7
        }
      ]
    },
    {
      "description": "Cmv Amplified Probe Sendout",
      "code_information": [
        {
          "code": "PX-30600199",
          "type": "CDM"
        },
        {
          "code": "87496",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 180,
          "discounted_cash": 117,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 113.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 113.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 147.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 99
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.09,
              "estimated_amount": 35.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 49.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 115.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 135
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 147.6
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 35.09,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 36.84,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 35.09,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 36.84,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 35.09,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 35.44,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 153
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 135
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 115.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 115.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 153
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 153
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 145.62
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 131.4
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 131.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 99.9
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 153
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 147.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 147.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 99
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.09,
              "estimated_amount": 35.09
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 35.09,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 36.84,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 137.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 117.18
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 180
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 99.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 115.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 131.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 99.9
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 153
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 113.76
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 99
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 153
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 153
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 137.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 137.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 153
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 51.28,
              "estimated_amount": 51.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 137.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 115.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 99.9
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 153
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 149.22
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 149.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 113.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 113.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 157.86
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 153
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 115.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 115.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 35.09,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 35.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 115.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 131.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 113.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 147.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 99
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 99
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 35.09,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 35.44,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.09,
              "estimated_amount": 35.09
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 158.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 99
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 99
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.09,
              "estimated_amount": 35.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 35.09,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 36.84,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 51.28,
              "estimated_amount": 51.28
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 35.09,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 35.44,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 153
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 117.18
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 117.18
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 117.18
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 145.62
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 35.09,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 35.44,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 149.22
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.09,
              "estimated_amount": 35.09
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.09,
              "estimated_amount": 35.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 115.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 115.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 117.18
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 131.4
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 35.09,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 35.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 117
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 153
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 147.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 35.09,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 35.44,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 157.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 113.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 147.6
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.09,
              "estimated_amount": 35.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 115.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 137.52
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 131.4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 153
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 51.28,
              "estimated_amount": 51.28
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 118.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 115.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 35.09,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 35.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 135
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 113.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 147.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 137.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.59,
              "estimated_amount": 131.59
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 153
            }
          ],
          "minimum": 35.09,
          "maximum": 131.59
        }
      ]
    },
    {
      "description": "HC Herpes Simplex Virus by Pcr",
      "code_information": [
        {
          "code": "PX-30600220",
          "type": "CDM"
        },
        {
          "code": "87530",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 409,
          "discounted_cash": 265.85,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 258.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 258.49
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 347.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 330.88
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 306.75
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 347.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 358.69
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 224.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 160.65,
              "estimated_amount": 160.65
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 298.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 262.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 312.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 262.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 160.65,
              "estimated_amount": 160.65
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 298.57
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 409
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 258.49
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 339.06
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 347.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 262.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 312.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 312.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 262.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 266.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 266.26
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 227
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 160.65,
              "estimated_amount": 160.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 160.65,
              "estimated_amount": 160.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 160.65,
              "estimated_amount": 160.65
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 224.95
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 339.06
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 347.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 262.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 262.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 160.65,
              "estimated_amount": 160.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 160.65,
              "estimated_amount": 160.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 330.88
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 298.57
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 306.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 262.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 160.65,
              "estimated_amount": 160.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 160.65,
              "estimated_amount": 160.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 266.26
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 347.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 335.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 224.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 258.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 258.49
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 224.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 312.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 160.65,
              "estimated_amount": 160.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 266.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 266.26
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 298.57
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 298.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 262.58
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 269.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 335.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 335.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 224.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 335.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 262.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 160.65,
              "estimated_amount": 160.65
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 227
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 347.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 160.65,
              "estimated_amount": 160.65
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 298.57
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 227
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 111.66
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 265.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 258.49
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 224.95
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 339.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 160.65,
              "estimated_amount": 160.65
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 347.65
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 347.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 262.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 160.65,
              "estimated_amount": 160.65
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 347.65
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 347.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 358.69
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 335.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 335.38
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 306.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 258.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 258.49
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 359.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 262.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 262.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 312.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 160.65,
              "estimated_amount": 160.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 160.65,
              "estimated_amount": 160.65
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 347.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 335.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 312.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 160.65,
              "estimated_amount": 160.65
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 227
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 335.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 224.95
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 347.65
            }
          ],
          "minimum": 160.65,
          "maximum": 160.65
        }
      ]
    },
    {
      "description": "HC Cytopath Fluid Smear",
      "code_information": [
        {
          "code": "PX-31000001",
          "type": "CDM"
        },
        {
          "code": "88104",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 292,
          "discounted_cash": 189.8,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 184.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 184.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 239.44
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 35.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 35.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 223.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 127.35,
              "estimated_amount": 127.35
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 162.06
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 189.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 187.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 236.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 184.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 239.44
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 292,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 256.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 239.44
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.18,
              "estimated_amount": 20.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 187.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 127.35,
              "estimated_amount": 127.35
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 127.35,
              "estimated_amount": 127.35
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.18,
              "estimated_amount": 20.18
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 248.2
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 256.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 239.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 160.6
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 187.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 223.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 190.09
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 162.06
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 219
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 187.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 127.35,
              "estimated_amount": 127.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 127.35,
              "estimated_amount": 127.35
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 190.09
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 292
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 248.2
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 36.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 242.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 187.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 190.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 127.35,
              "estimated_amount": 127.35
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 213.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 184.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 184.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 239.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 160.6
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 248.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 184.54
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 248.2
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 292,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 127.35,
              "estimated_amount": 127.35
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 213.16
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 79.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 187.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 187.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 127.35,
              "estimated_amount": 127.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 127.35,
              "estimated_amount": 127.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 239.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 160.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 35.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 35.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 248.2
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 248.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 160.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 160.6
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 223.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 127.35,
              "estimated_amount": 127.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 127.35,
              "estimated_amount": 127.35
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 213.16
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 213.16
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 248.2
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 219
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 187.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 190.09
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 162.06
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 248.2
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 192.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 184.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 256.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 239.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 160.6
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 242.07
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 292,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 242.07
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 219
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 223.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 187.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 223.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 127.35,
              "estimated_amount": 127.35
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 248.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 187.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 236.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 190.09
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 248.2
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 248.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 239.44
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 36.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 127.35,
              "estimated_amount": 127.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 127.35,
              "estimated_amount": 127.35
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 248.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 223.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 187.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 127.35,
              "estimated_amount": 127.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 127.35,
              "estimated_amount": 127.35
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 213.16
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 162.06
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.18,
              "estimated_amount": 20.18
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 248.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 35.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 36.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 36.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 187.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 127.35,
              "estimated_amount": 127.35
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 213.16
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 248.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 184.54
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 160.6
            }
          ],
          "minimum": 20.18,
          "maximum": 127.35
        }
      ]
    },
    {
      "description": "HC Mol Cyto in Situ 100 to 300 Cells So",
      "code_information": [
        {
          "code": "PX-31000031",
          "type": "CDM"
        },
        {
          "code": "88275",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 163,
          "discounted_cash": 105.95,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 103.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 103.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 133.66
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 163,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 104.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 191.96,
              "estimated_amount": 191.96
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 131.87
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 138.55
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 51.19,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 51.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 138.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 89.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 124.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 191.96,
              "estimated_amount": 191.96
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 105.95
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 138.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 104.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 104.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 191.96,
              "estimated_amount": 191.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 191.96,
              "estimated_amount": 191.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 191.96,
              "estimated_amount": 191.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 191.96,
              "estimated_amount": 191.96
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 118.99
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 89.65
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 89.65
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 135.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 103.02
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 89.65
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 135.13
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 51.19,
              "estimated_amount": 51.19
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 163,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 58.15,
              "estimated_amount": 58.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 191.96,
              "estimated_amount": 191.96
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 106.11
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 118.99
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 90.47
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 58.15,
              "estimated_amount": 58.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 104.65
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 163
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 58.15,
              "estimated_amount": 58.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 89.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 51.19,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 51.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 51.19,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 51.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 133.66
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 133.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 191.96,
              "estimated_amount": 191.96
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 90.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 124.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 104.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 104.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 106.11
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 118.99
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 122.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 103.02
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 89.65
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 51.19,
              "estimated_amount": 51.19
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 51.19,
              "estimated_amount": 51.19
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 89.65
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 51.19,
              "estimated_amount": 51.19
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 51.19,
              "estimated_amount": 51.19
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 138.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 106.11
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 51.19,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 51.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 138.55
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 138.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 104.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 104.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 104.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 124.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 191.96,
              "estimated_amount": 191.96
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 90.47
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 122.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 133.66
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 51.19,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 51.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 135.13
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 51.19,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 53.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 138.55
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 51.19,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 53.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 124.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 104.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 191.96,
              "estimated_amount": 191.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 191.96,
              "estimated_amount": 191.96
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 106.11
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 90.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 104.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 131.87
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 51.19,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 51.19,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 44.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 103.02
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 51.19,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 51.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 51.19,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 53.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 103.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 103.02
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 51.19,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 51.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 191.96,
              "estimated_amount": 191.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 191.96,
              "estimated_amount": 191.96
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 118.99
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 138.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 191.96,
              "estimated_amount": 191.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 191.96,
              "estimated_amount": 191.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 191.96,
              "estimated_amount": 191.96
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 118.99
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 118.99
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 103.02
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 51.19,
              "estimated_amount": 51.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 133.66
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 51.19,
              "estimated_amount": 51.19
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 163,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 124.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 191.96,
              "estimated_amount": 191.96
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 106.11
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 107.58
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 138.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 104.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 124.53
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 138.55
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 138.55
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 138.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 142.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 142.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 133.66
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 133.66
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 138.55
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 143.44
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 138.55
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 122.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 133.66
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 51.19,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 53.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            }
          ],
          "minimum": 51.19,
          "maximum": 191.96
        }
      ]
    },
    {
      "description": "HC Histochemistry Stain Esterase",
      "code_information": [
        {
          "code": "PX-31000080",
          "type": "CDM"
        },
        {
          "code": "88319",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 785,
          "discounted_cash": 510.25,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 785,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 785,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 785,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 104.65,
              "estimated_amount": 104.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 198.7,
              "estimated_amount": 198.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 198.7,
              "estimated_amount": 198.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2911.91,
              "estimated_amount": 2911.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2911.91,
              "estimated_amount": 2911.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2911.91,
              "estimated_amount": 2911.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2911.91,
              "estimated_amount": 2911.91
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 56.81,
              "estimated_amount": 56.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 56.81,
              "estimated_amount": 56.81
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 667.25
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 588.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2911.91,
              "estimated_amount": 2911.91
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 47.15,
              "estimated_amount": 47.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 643.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 431.75
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 788.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 788.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 667.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 643.7
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 588.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 198.7,
              "estimated_amount": 198.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 198.7,
              "estimated_amount": 198.7
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 49.9,
              "estimated_amount": 49.9
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 667.25
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 588.75
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 667.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 191.01,
              "estimated_amount": 191.01
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 49.9,
              "estimated_amount": 49.9
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 667.25
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 750.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 750.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 56.81,
              "estimated_amount": 56.81
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 431.75
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 788.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 191.01,
              "estimated_amount": 191.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 198.7,
              "estimated_amount": 198.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 56.81,
              "estimated_amount": 56.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 56.81,
              "estimated_amount": 56.81
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 573.05
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 47.15,
              "estimated_amount": 47.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2911.91,
              "estimated_amount": 2911.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2911.91,
              "estimated_amount": 2911.91
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 56.81,
              "estimated_amount": 56.81
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 573.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 643.7
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 750.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 785,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 758,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 56.81,
              "estimated_amount": 56.81
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 750.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2911.91,
              "estimated_amount": 2911.91
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 750.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 750.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 667.25
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 750.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2911.91,
              "estimated_amount": 2911.91
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 750.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 785,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 431.75
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 56.81,
              "estimated_amount": 56.81
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 750.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 667.25
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 690.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 785,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 431.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 758,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 758,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 667.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 191.01,
              "estimated_amount": 191.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 198.7,
              "estimated_amount": 198.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2911.91,
              "estimated_amount": 2911.91
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 573.05
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 49.9,
              "estimated_amount": 49.9
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 25,
              "estimated_amount": 196.25
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 667.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 191.01,
              "estimated_amount": 191.01
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 573.05
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 573.05
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 49.9,
              "estimated_amount": 49.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 643.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 643.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 758,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 750.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 198.7,
              "estimated_amount": 198.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 198.7,
              "estimated_amount": 198.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 198.7,
              "estimated_amount": 198.7
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 667.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 431.75
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 788.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 191.01,
              "estimated_amount": 191.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2911.91,
              "estimated_amount": 2911.91
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 573.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 198.7,
              "estimated_amount": 198.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 198.7,
              "estimated_amount": 198.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2911.91,
              "estimated_amount": 2911.91
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 431.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 785,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 643.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 431.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 191.01,
              "estimated_amount": 191.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2911.91,
              "estimated_amount": 2911.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2911.91,
              "estimated_amount": 2911.91
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 56.81,
              "estimated_amount": 56.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 56.81,
              "estimated_amount": 56.81
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 785
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 198.7,
              "estimated_amount": 198.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2911.91,
              "estimated_amount": 2911.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2911.91,
              "estimated_amount": 2911.91
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 667.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 104.65,
              "estimated_amount": 104.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 643.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 758,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 750.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 750.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2911.91,
              "estimated_amount": 2911.91
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 510.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 785,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 643.7
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 47.15,
              "estimated_amount": 47.15
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 667.25
            }
          ],
          "minimum": 47.15,
          "maximum": 2911.91
        }
      ]
    },
    {
      "description": "HC Morph Anlys Ish Manual 1st Probe Stain",
      "code_information": [
        {
          "code": "PX-31000109",
          "type": "CDM"
        },
        {
          "code": "88368",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1100,
          "discounted_cash": 715,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 695.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 902
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 605
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 316.86,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 144.25,
              "estimated_amount": 144.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 706.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 840.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1215.41,
              "estimated_amount": 1215.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1215.41,
              "estimated_amount": 1215.41
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 300.3
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 935
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 605
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 911.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 695.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 695.2
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 240.9
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 968
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 935
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 840.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1215.41,
              "estimated_amount": 1215.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1215.41,
              "estimated_amount": 1215.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 716.1
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 803
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 706.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 610.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 610.5
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 825
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 935
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 964.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 605
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 316.86,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 911.9
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 935
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 695.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 911.9
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 307.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 706.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 706.2
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 935
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 706.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 840.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1215.41,
              "estimated_amount": 1215.41
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 825
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 902
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 902
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 605
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 322.45,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 902
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1100,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 706.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1215.41,
              "estimated_amount": 1215.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1215.41,
              "estimated_amount": 1215.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1215.41,
              "estimated_amount": 1215.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 716.1
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 803
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 610.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 935
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 964.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 902
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 605
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 307.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 322.45,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 825
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 902
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 902
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 605
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 316.86,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 307.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1215.41,
              "estimated_amount": 1215.41
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 935
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 706.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1215.41,
              "estimated_amount": 1215.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1215.41,
              "estimated_amount": 1215.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 716.1
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 935
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 695.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 695.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 316.86,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 307.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 706.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 706.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 840.4
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 322.45,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 716.1
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 803
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 307.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1100
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 935
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 706.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 840.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 706.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1215.41,
              "estimated_amount": 1215.41
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 803
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 935
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 695.2
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1100,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 307.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 706.2
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 803
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 935
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1215.41,
              "estimated_amount": 1215.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 889.9
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 307.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 935
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 605
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 307.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 695.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 316.86,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 935
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1100,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 840.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1215.41,
              "estimated_amount": 1215.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 889.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 716.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 610.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1215.41,
              "estimated_amount": 1215.41
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 307.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 726
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 902
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 322.45,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1215.41,
              "estimated_amount": 1215.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1215.41,
              "estimated_amount": 1215.41
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 803
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 144.25,
              "estimated_amount": 144.25
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 715
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 307.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 935
            }
          ],
          "minimum": 144.25,
          "maximum": 1215.41
        }
      ]
    },
    {
      "description": "Prostate Biopsy, Any Method",
      "code_information": [
        {
          "code": "PX-31000119",
          "type": "CDM"
        },
        {
          "code": "88305",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 707,
          "discounted_cash": 459.55,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 446.82
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 316.86,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 707,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 453.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1215.41,
              "estimated_amount": 1215.41
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 707
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 530.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1215.41,
              "estimated_amount": 1215.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1215.41,
              "estimated_amount": 1215.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 460.26
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 600.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 446.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 579.74
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 579.74
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 388.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 388.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 316.86,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 586.1
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 313.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 600.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 579.74
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 388.85
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 586.1
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 313.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 600.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1215.41,
              "estimated_amount": 1215.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1215.41,
              "estimated_amount": 1215.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1215.41,
              "estimated_amount": 1215.41
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 600.95
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 530.25
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 600.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 453.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1215.41,
              "estimated_amount": 1215.41
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 388.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 446.82
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 316.86,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 600.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 571.96
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 460.26
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 516.11
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 313.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 392.39
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 313.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 453.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 540.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 540.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 453.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 453.89
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 313.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 193.01
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 600.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 446.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 579.74
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 388.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 388.85
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 313.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 329.41,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1215.41,
              "estimated_amount": 1215.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1215.41,
              "estimated_amount": 1215.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1215.41,
              "estimated_amount": 1215.41
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 392.39
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 600.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 540.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 453.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1215.41,
              "estimated_amount": 1215.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 460.26
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 516.11
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 313.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 313.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 313.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 600.95
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 530.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 620.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 620.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 446.82
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 586.1
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 49.66,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1215.41,
              "estimated_amount": 1215.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1215.41,
              "estimated_amount": 1215.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 460.26
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 466.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 540.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1215.41,
              "estimated_amount": 1215.41
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 392.39
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 600.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 579.74
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 49.66,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 446.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 579.74
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 316.86,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1215.41,
              "estimated_amount": 1215.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 460.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 453.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 453.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 453.89
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 459.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 579.74
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 388.85
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 707,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 316.86,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 446.82
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 313.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 540.15
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 600.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 600.95
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 27.69,
              "estimated_amount": 27.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 453.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1215.41,
              "estimated_amount": 1215.41
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 516.11
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 392.39
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 600.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 579.74
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 329.41,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 453.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1215.41,
              "estimated_amount": 1215.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 571.96
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 516.11
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 516.11
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 27.69,
              "estimated_amount": 27.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 453.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 540.15
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 600.95
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 27.69,
              "estimated_amount": 27.69
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 707,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 622.16
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 516.11
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 446.82
            }
          ],
          "minimum": 27.69,
          "maximum": 1215.41
        }
      ]
    },
    {
      "description": "HC Cyto Pap Smear Automated Mcare",
      "code_information": [
        {
          "code": "PX-31100002",
          "type": "CDM"
        },
        {
          "code": "G0145",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 131,
          "discounted_cash": 85.15,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 82.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 82.79
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 108.6
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 108.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 84.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 100.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 99.34,
              "estimated_amount": 99.34
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 26.49,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 26.49,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 98.25
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 111.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 99.34,
              "estimated_amount": 99.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 99.34,
              "estimated_amount": 99.34
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 111.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 107.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 72.05
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 26.49,
              "estimated_amount": 26.49
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 105.98
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 95.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 84.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 84.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 99.34,
              "estimated_amount": 99.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 85.28
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 95.63
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 26.49,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 26.49,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 131,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 82.79
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 108.6
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 26.49,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 27.81,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 26.49,
              "estimated_amount": 26.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 82.79
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 72.05
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 26.49,
              "estimated_amount": 26.49
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 131,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 131,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 111.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 100.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 99.34,
              "estimated_amount": 99.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 99.34,
              "estimated_amount": 99.34
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 95.63
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 72.71
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 111.35
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 95.63
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 111.35
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 86.46
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 72.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 72.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 26.49,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 26.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 100.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 99.34,
              "estimated_amount": 99.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 85.28
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 111.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 99.34,
              "estimated_amount": 99.34
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 72.05
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 111.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 114.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 82.79
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 26.49,
              "estimated_amount": 26.49
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 26.49,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 27.81,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 98.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 99.34,
              "estimated_amount": 99.34
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 111.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 99.34,
              "estimated_amount": 99.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 114.89
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 26.49,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 26.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 131,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 115.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 82.79
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 72.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 26.49,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 26.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 26.49,
              "estimated_amount": 26.49
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 26.49,
              "estimated_amount": 26.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 100.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 84.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 84.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 99.34,
              "estimated_amount": 99.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 99.34,
              "estimated_amount": 99.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 105.98
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 95.63
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 95.63
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 72.71
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 72.71
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 35.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 100.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 99.34,
              "estimated_amount": 99.34
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 111.35
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 85.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 107.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 107.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 82.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 107.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 107.42
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 26.49,
              "estimated_amount": 26.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 99.34,
              "estimated_amount": 99.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 85.28
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 131,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 111.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 84.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 84.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 85.28
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 26.49,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 26.49,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 111.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 82.79
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 111.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 26.49,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 26.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 26.49,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 27.81,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 131,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 100.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 99.34,
              "estimated_amount": 99.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 99.34,
              "estimated_amount": 99.34
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 72.71
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 111.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 84.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 84.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 99.34,
              "estimated_amount": 99.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 85.28
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 98.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 107.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 107.42
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 26.49,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 27.81,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 26.49,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 26.75,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 84.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 84.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 84.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 131
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 107.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 72.05
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 111.35
            }
          ],
          "minimum": 26.49,
          "maximum": 99.34
        }
      ]
    },
    {
      "description": "HC Xr Thoracolumbar Spine 2 Vw",
      "code_information": [
        {
          "code": "PX-32000042",
          "type": "CDM"
        },
        {
          "code": "72080",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 313,
          "discounted_cash": 203.45,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 197.82
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 259.48
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 79.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 200.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 239.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 313,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 313,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 200.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 200.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 313,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 203.76
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 173.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 197.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 256.66
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 83.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 266.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 256.66
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 172.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 172.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 172.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 172.15
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 79.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 79.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 266.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 200.95
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 173.72
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 266.05
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 266.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 203.76
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 234.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 197.82
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 80.1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 80.1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 259.48
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 313,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 275.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 172.15
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 259.48
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 266.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 313,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 313,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 313,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 266.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 239.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 313,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 313,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 228.49
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 79.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 313,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 234.75
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 266.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 256.66
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 79.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 197.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 197.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 256.66
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 80.1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 83.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 313,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 228.49
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 266.05
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 266.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 239.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 200.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 200.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 313,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 228.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 274.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 256.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 197.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 313,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 313,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 253.22
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 206.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 239.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 313,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 256.66
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 172.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 172.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 80.1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 83.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 79.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 200.95
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 313,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 313,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 173.72
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 173.72
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 266.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 200.95
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 266.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 274.5
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 80.1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 234.75
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 79.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 83.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 313,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 239.13
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 228.49
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 228.49
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 228.49
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 266.05
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 203.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 256.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 197.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 197.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 200.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 200.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 313,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 313,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 313,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 203.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 203.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 253.22
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 79.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 313
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 239.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 203.76
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 85.45
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 266.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 256.66
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 79.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 313,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 266.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 200.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 200.95
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 79.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 313,
              "additional_payer_notes": "OUTPATIENT"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Xr Wrist 2 Vw",
      "code_information": [
        {
          "code": "PX-32000073",
          "type": "CDM"
        },
        {
          "code": "73100",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 226,
          "discounted_cash": 146.9,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 142.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 142.83
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 185.32
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 83.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 226,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 226,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 226,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 226,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 61.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 145.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 226,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 142.83
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 185.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 185.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 185.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 124.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 124.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 124.3
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 187.35
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 169.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 145.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 145.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 145.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 226,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 226,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 149.16
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 192.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 226,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 226,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 80.1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 185.32
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 80.1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 80.1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 79.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 79.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 226,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 83.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 226,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 226,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 147.13
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 125.43
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 192.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 172.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 182.83
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 125.43
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 79.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 192.1
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 192.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 142.83
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 124.3
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 192.1
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 192.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 172.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 172.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 145.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 226,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 147.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 147.13
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 164.98
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 164.98
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 164.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 226
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 125.43
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 192.1
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 192.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 172.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 147.13
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 192.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 124.3
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 79.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 142.83
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 226,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 145.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 145.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 226,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 226,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 164.98
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 79.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 226,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 145.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 145.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 172.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 142.83
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 187.35
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 187.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 198.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 185.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 124.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 145.09
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 198.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 226,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 192.1
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 169.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 145.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 226,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 169.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 142.83
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 185.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 124.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 80.1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 79.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 79.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 83.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 80.1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 192.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 125.43
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 192.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 172.66
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 79.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 198.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 142.83
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 185.32
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 79.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 182.83
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 164.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 226,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 226,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 147.13
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 164.98
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 192.1
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 226,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 79.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 83.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 226,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 145.09
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 146.9
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 192.1
            }
          ]
        }
      ]
    },
    {
      "description": "HC Xr Tibia Fibula 2 Vw",
      "code_information": [
        {
          "code": "PX-32000091",
          "type": "CDM"
        },
        {
          "code": "73590",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 305,
          "discounted_cash": 198.25,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 192.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 192.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 250.1
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 79.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 79.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 259.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 195.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 195.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 246.75
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 222.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 228.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 195.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 195.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 195.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 305,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 169.28
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 79.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 79.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 259.25
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 259.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 80.1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 305,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 305,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 167.75
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 79.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 80.1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 259.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 233.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 305,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 305,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 169.28
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 259.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 195.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 195.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 198.56
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 222.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 250.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 167.75
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 252.85
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 259.25
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 228.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 250.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 305,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 222.65
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 222.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 233.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 305,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 305,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 305,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 79.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 267.49
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 250.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 167.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 233.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 195.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 305,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 259.25
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 259.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 250.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 80.1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 79.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 79.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 83.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 167.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 167.75
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 79.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 195.81
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 259.25
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 305,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 233.02
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 198.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 305
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 259.25
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 228.75
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 305,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 192.76
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 252.85
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 305,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 83.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 195.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 305,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 305,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 259.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 233.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 305,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 246.75
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 198.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 192.76
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 80.1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 83.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 305,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 192.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 250.1
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 83.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 305,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 222.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 195.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 305,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 305,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 305,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 198.56
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 222.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 192.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 267.49
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 250.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 250.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 167.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 167.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 80.1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 79.31,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 259.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 233.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 305,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 169.28
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 83.27
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 201.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 195.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 305,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 198.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 169.28
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 259.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 192.76
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 252.85
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 268.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 198.56
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 259.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 192.76
            }
          ]
        }
      ]
    },
    {
      "description": "HC Urethrocystogram Retrograde",
      "code_information": [
        {
          "code": "PX-32000137",
          "type": "CDM"
        },
        {
          "code": "74450",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 822,
          "discounted_cash": 534.3,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 519.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 519.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 519.5
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 224.56,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 822,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 527.72
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 600.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 822,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 216,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 213.87,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 213.87,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 224.56,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 519.5
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 213.87,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 698.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 822,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 822,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 822,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 600.06
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 456.21
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 616.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 628.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 822,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 822,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 535.12
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 698.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 519.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 674.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 519.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 452.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 822,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 822,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 822,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 600.06
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 600.06
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 534.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 822,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 665
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 698.7
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 698.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 452.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 452.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 216,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 681.44
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 213.87,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 822,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 452.1
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 213.87,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 698.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 527.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 822,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 822,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 665
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 456.21
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 456.21
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 698.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 674.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 674.04
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 616.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 674.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 452.1
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 822,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 224.56,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 698.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 527.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 527.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 628.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 628.01
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 600.06
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 822,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 527.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 628.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 527.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 628.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 822,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 822,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 535.12
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 542.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 527.72
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 216,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 698.7
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 698.7
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 600.06
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 822,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 535.12
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 213.87,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 720.89
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 674.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 674.04
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 216,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 723.36
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 452.1
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 224.56,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 527.72
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 822
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 213.87,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 628.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 527.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 527.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 527.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 822,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 698.7
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 698.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 720.89
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 674.04
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 681.44
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 213.87,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 527.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 822,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 535.12
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 456.21
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 698.7
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 616.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 698.7
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 698.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 519.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 674.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 452.1
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 213.87,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 681.44
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 213.87,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 822,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 822,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 535.12
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 224.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 519.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 216,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Medical Physics Special Consultation",
      "code_information": [
        {
          "code": "PX-33300021",
          "type": "CDM"
        },
        {
          "code": "77370",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 3221,
          "discounted_cash": 2093.65,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2035.67
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 119.61,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 705.4
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3221,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2737.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2067.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2096.87
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2737.85
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2737.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2067.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3221,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3221,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3221,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2737.85
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 115.92,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2670.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2035.67
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2641.22
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2737.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2067.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2605.79
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2096.87
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 2093.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3221,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2605.79
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2737.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1771.55
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 124.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 119.61,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2035.67
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 119.61,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 115.92,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2067.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3221,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2096.87
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2737.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2460.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2067.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3221,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 879.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2824.82
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 119.61,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 124.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2824.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2641.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2641.22
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 2834.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2067.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2067.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2460.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2096.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2460.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3221,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3221,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3221,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3221,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2641.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2641.22
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2670.21
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3221,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2641.22
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1771.55
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 118.42,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2067.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3221,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2737.85
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2415.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3221,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1787.66
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 3221
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 2125.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2035.67
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2035.67
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1771.55
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2670.21
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2737.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1771.55
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 124.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2460.84
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2737.85
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2415.75
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 115.92,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 115.92,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1787.66
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2737.85
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2737.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2641.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2035.67
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 118.42,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2067.88
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1787.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2067.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2067.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3221,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3221,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2096.87
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1787.66
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2737.85
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3221,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2415.75
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2737.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2035.67
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 118.42,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2035.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2460.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3221,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3221,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2351.33
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2351.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2460.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3221,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2351.33
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2351.33
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2351.33
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 115.92,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2641.22
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1771.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1771.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 119.61,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 115.92,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 118.42,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 124.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3221,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2067.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3221,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2351.33
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1771.55
            }
          ]
        }
      ]
    },
    {
      "description": "HC CT Brain WO Contrast",
      "code_information": [
        {
          "code": "PX-35100001",
          "type": "CDM"
        },
        {
          "code": "70450",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1117,
          "discounted_cash": 726.05,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 817.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 979.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 817.64
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 614.35
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 244.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 822.11
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 815.41
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1117,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 837.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 822.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1117,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 815.41
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 949.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 915.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 915.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 915.94
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 614.35
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 100.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 817.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 915.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 915.94
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 949.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 822.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 727.17
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 727.17
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 727.17
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 727.17
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 815.41
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 949.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1117,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1117,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 949.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 817.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 915.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 915.94
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 925.99
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 100.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 925.99
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 837.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 822.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 822.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1117,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.5,
              "estimated_amount": 821
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 949.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1117,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1117,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 915.94
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 822.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 853.39
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1117
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 853.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 822.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 822.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 822.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1117,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 726.05
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 949.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 614.35
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 949.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 817.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 822.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 822.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1117,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 815.41
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.5,
              "estimated_amount": 821
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 949.45
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 837.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 853.39
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 815.41
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 815.41
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 949.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 817.64
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 614.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 96.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 100.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 949.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 817.64
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 614.35
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 925.99
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 100.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 853.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1117,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1117,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1117,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 903.65
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 853.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1117,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.5,
              "estimated_amount": 821
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 949.45
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 737.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 817.64
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 96.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 949.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 614.35
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1117,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 822.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 853.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1117,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1117,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1117,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 903.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 727.17
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.5,
              "estimated_amount": 821
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 949.45
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 96.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 979.61
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1117,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1117,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1117,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 304.94
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 949.45
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1117,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 96.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 982.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1117,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 614.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 96.91,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "HC CT Soft Tissue Neck WO Contrast",
      "code_information": [
        {
          "code": "PX-35100010",
          "type": "CDM"
        },
        {
          "code": "70490",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1331,
          "discounted_cash": 865.15,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 974.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 974.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1167.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1167.29
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1091.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 732.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 96.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1103.4
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1331,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1331,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1331
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 998.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 979.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 979.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1331,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1331,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1331,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1091.42
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 96.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 732.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 979.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1016.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1331,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 866.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 979.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1016.88
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 865.15
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1331,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 732.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 732.05
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1131.35
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 998.25
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1171.28
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1131.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1091.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 732.05
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1331,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1331,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.5,
              "estimated_amount": 978.29
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1131.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 979.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1331,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1331,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1331,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1331,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 866.48
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1131.35
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 96.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 100.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1131.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1016.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 979.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 979.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1331,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1331,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 866.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 866.48
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1131.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 979.62
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 866.48
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.5,
              "estimated_amount": 978.29
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 998.25
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1131.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 974.29
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1091.42
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1016.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1331,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 971.63
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 971.63
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 363.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 979.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1331,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1131.35
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 878.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 974.29
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 732.05
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 100.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1091.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 732.05
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1103.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1076.78
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 971.63
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 971.63
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1131.35
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 971.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 974.29
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1091.42
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 291.49
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 96.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 974.29
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 100.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1331,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1016.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1076.78
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.5,
              "estimated_amount": 978.29
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1131.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1016.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1331,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1091.42
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 96.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1103.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 974.29
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1091.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 979.62
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 971.63
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1131.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 979.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1331,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1331,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.5,
              "estimated_amount": 978.29
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1331,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 100.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 979.62
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1131.35
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1131.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 974.29
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1131.35
            }
          ]
        }
      ]
    },
    {
      "description": "Ted Stocking Knee High Medium/X-Length",
      "code_information": [
        {
          "code": "PX-CH-KN7480",
          "type": "CDM"
        },
        {
          "code": "A6530",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 11.17,
          "discounted_cash": 7.26,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7.27
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8.15
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.49
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 9.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.14
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 6.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 9.04
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 36.93,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 36.93,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 7.37
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.06
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 36.93,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 37.3,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 9.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.06
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 36.93,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 37.3,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 9.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8.15
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 6.2
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 36.93,
              "estimated_amount": 36.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 11.17,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 11.17,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.16
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.06
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.14
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 36.93,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 37.3,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.17
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8.15
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8.15
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 3.05
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 8.38
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 8.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.06
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.14
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.14
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 6.2
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.49
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.49
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 9.8
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 9.26
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 9.26
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 36.93,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 38.78,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.49
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.17
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8.15
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 36.93,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 36.93,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 36.93,
              "estimated_amount": 36.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.06
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 36.93,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 37.3,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.14
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 9.04
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 36.93,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 36.93,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 6.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7.27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7.27
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.16
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.49
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 8.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 11.17
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.49
            }
          ],
          "minimum": 36.93,
          "maximum": 36.93
        }
      ]
    },
    {
      "description": "\"Island Composite Drsg Adhesive 4\"\" X 8\"\" Reliamed\"",
      "code_information": [
        {
          "code": "PX-CH-ZGB48",
          "type": "CDM"
        },
        {
          "code": "A6219",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1,
          "discounted_cash": 0.65,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.66
            }
          ]
        }
      ]
    },
    {
      "description": "HC Debr Subq Tissue <=20 Sq Cm",
      "code_information": [
        {
          "code": "PX-36100013",
          "type": "CDM"
        },
        {
          "code": "11042",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1395,
          "discounted_cash": 906.75,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 881.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 881.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1143.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 767.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 351.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1156.46
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 365.42,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1395,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 895.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 895.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1065.78
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 908.15
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1018.35
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1185.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1046.25
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1185.75
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1185.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1395,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1018.35
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 348.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 351.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 351.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1395,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1143.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1143.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 351.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1185.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 895.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1395,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1395,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1185.75
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 380.84
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1395,
              "additional_payer_notes": " ASC LISTED"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 895.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1395,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1395,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1128.56
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1018.35
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "estimated_amount": 1395
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1185.75
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 906.75
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1185.75
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 348.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1143.9
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 365.42,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 348.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1395,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1185.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1065.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1395,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1395,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1395,
              "additional_payer_notes": " ASC LISTED"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 767.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1143.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 895.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1395,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1395,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1185.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1046.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1065.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 895.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 895.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1065.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1395,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1395,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1143.9
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1046.25
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1185.75
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1395,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 881.64
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 767.25
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "estimated_amount": 692
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1395,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "estimated_amount": 1395
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 920.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 908.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 881.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 881.64
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 767.25
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 348.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1185.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 881.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1143.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 895.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1395,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1395,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 365.42,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1185.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 895.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 895.59
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "estimated_amount": 1395
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1223.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 767.25
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 365.42,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1185.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 881.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1065.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 895.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 908.15
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1018.35
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1018.35
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "estimated_amount": 1395
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 881.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1143.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 767.25
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 348.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 348.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1156.46
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 348.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1156.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1395,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "estimated_amount": 1395
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1185.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1065.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 895.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 908.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 908.15
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1018.35
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 348.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1223.42
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1227.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1395,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1128.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 348.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 767.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 351.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 348.02,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "HC High Cost Applic Ss Hhfg Addl 100=>100sq Cm",
      "code_information": [
        {
          "code": "PX-36100050",
          "type": "CDM"
        },
        {
          "code": "15278",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 4772,
          "discounted_cash": 3101.8,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3015.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4185.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2624.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3063.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4772,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4772,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4772,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4056.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4772,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4772,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3860.55
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3483.56
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3483.56
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4056.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4185.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3913.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2624.6
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3955.99
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3015.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3015.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2624.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3063.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3063.62
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3106.57
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2648.46
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2648.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3063.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4772,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3106.57
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4056.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3015.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3015.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3015.9
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3955.99
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 4199.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3645.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4772,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4772,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4772,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3860.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2624.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3913.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3913.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2624.6
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4056.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3645.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3106.57
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3483.56
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4056.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4772,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4772,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3579
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3913.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3063.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3063.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3645.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3063.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4772,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3106.57
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3483.56
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4056.2
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 3149.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3063.62
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3483.56
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4056.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3913.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3913.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3913.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3913.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3645.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3645.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3063.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4772,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3015.9
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4056.2
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3579
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2624.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4772,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4772,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 4772
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2648.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3645.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4772,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3483.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2648.46
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 3101.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2624.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3015.9
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4056.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3063.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3063.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3063.62
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4056.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4772,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3106.57
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1302.76
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3579
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3955.99
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4056.2
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4056.2
            }
          ]
        }
      ]
    },
    {
      "description": "HC Dress or Debr Burn WO Anes Large",
      "code_information": [
        {
          "code": "PX-36100054",
          "type": "CDM"
        },
        {
          "code": "16030",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1470,
          "discounted_cash": 955.5,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 929.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 808.5
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1249.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1123.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1123.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 923.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 923.16
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1073.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1470,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1249.5
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 955.5
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1102.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 943.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1123.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 943.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 923.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 923.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 954.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1205.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 808.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 943.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 923.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 923.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 923.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 943.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 923.16
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1249.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 929.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1205.4
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1249.5
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1470,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 321.93
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1293.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1123.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 943.74
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1073.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1123.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 943.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1189.23
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 808.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 808.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 943.74
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1102.5
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1470,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1249.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 929.04
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1218.63
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1470,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1205.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 808.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1218.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1123.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 923.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 956.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 956.97
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1073.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1470,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1249.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1249.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 923.16
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1073.1
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 401.31
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1470,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1205.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 808.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 929.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 943.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 954.03
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1470,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 943.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 954.03
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1073.1
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1073.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1205.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1205.4
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1218.63
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1102.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 943.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 943.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 923.16
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1249.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1249.5
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1249.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 954.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1289.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1205.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1205.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 929.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1289.19
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 808.5
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1249.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 943.74
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1470,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1249.5
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 970.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 923.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 923.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 956.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 956.97
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1249.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 929.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 929.04
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1249.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 956.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1189.23
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1470,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 929.04
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1470,
              "additional_payer_notes": "OUTPATIENT"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Thoracentesis WO Imaging",
      "code_information": [
        {
          "code": "PX-36100161",
          "type": "CDM"
        },
        {
          "code": "32554",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 5820,
          "discounted_cash": 3783,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3678.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 5104.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4772.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3201
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5820,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "estimated_amount": 3580
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "estimated_amount": 3580
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4947
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4947
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5820,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4365
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3678.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3201
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 574.81,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 553.77,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 553.77,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 553.77,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 574.81,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3736.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5820,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3788.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3736.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3736.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5820,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3788.82
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4248.6
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4947
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5820,
              "additional_payer_notes": " ASC LISTED"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 3841.2
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4947
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3678.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3201
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4824.78
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 553.77,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 5121.6
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 574.81,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 603.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 1274.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5820,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 548.29,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4365
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4446.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3736.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5820,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3788.82
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "estimated_amount": 3580
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "estimated_amount": 3580
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 548.29,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5820,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4772.4
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 603.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4947
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4248.6
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1588.86
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4947
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4947
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5820,
              "additional_payer_notes": " ASC LISTED"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4446.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4446.48
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4248.6
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 548.29,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5820,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4947
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4772.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4772.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3201
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4947
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3736.44
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4947
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4947
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3736.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4446.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5820,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3678.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4772.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4772.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3201
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4824.78
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 574.81,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 574.81,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4772.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3736.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3736.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5820,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5820,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4446.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4708.38
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4947
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3678.24
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4824.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3678.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3201
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 553.77,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 603.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4947
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3736.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3788.82
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4248.6
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4947
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5820,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4708.38
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4248.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "estimated_amount": 3580
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 574.81,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 574.81,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3201
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3736.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4446.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3736.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5820,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5820,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5820,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5820,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3788.82
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4248.6
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 3783
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5820,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5820,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3678.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3678.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 5104.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4772.4
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4365
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3736.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5820,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 603.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5820,
              "additional_payer_notes": "OUTPATIENT"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Insert Pulse Generator Only Sgl",
      "code_information": [
        {
          "code": "PX-36100175",
          "type": "CDM"
        },
        {
          "code": "33212",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 17695,
          "discounted_cash": 11501.75,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 11183.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 14509.9
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 15040.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 11360.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 11360.19
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 15040.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 13518.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17695,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17695,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 14315.26
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12917.35
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17695,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 15040.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 14509.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 13518.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 11360.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 13518.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17695,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 15040.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9732.25
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 13271.25
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 15040.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17695,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 11678.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17695,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 11519.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17695,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 15040.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 13271.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 11183.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 15518.52
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 14509.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9732.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 11183.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 14509.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9732.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 11360.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 11360.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 11360.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17695,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 11519.45
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 15040.75
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 15040.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 11183.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9732.25
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 14669.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17695,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 14315.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 11519.45
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 13271.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 11360.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 11360.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17695,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17695,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17695,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 14509.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9732.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 11183.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9732.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 11360.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 13518.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17695,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17695,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17695,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 15040.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 11183.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9732.25
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 15040.75
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 15571.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 14509.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17695,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12917.35
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12917.35
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 15040.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 11360.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 13518.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17695,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17695,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 4830.74
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 11501.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 11183.24
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 15040.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 15518.52
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 14669.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 11360.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17695,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17695,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 11519.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 11519.45
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12917.35
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12917.35
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17695,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 14669.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 11360.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 13518.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 17695,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12917.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 11183.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 14509.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 14509.9
            }
          ]
        }
      ]
    },
    {
      "description": "HC Repair Transvenous Electrode Single",
      "code_information": [
        {
          "code": "PX-36100181",
          "type": "CDM"
        },
        {
          "code": "33218",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 27288,
          "discounted_cash": 17737.2,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 17246.02
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 27288,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 27288,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 27288,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 27288,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 17764.49
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 23194.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 20848.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 27288,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3354.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3354.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 23194.8
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 23194.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 23931.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 22376.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 22376.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 15008.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 15008.4
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 22621.75
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 24013.44
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 5976.07
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 23194.8
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 23194.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 17518.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 27288,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 27288,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 17764.49
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "estimated_amount": 15122
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 23194.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 22376.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 15008.4
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3522.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 17246.02
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 22621.75
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3354.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3522.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 23194.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 17518.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 17518.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 27288,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 27288,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 18,
              "estimated_amount": 4911.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 20848.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 17518.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 27288,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "estimated_amount": 15122
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "estimated_amount": 15122
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 15008.4
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 23194.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 17246.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 17246.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 23931.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 22376.16
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3354.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 20466
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 20848.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 27288,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 17764.49
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 18010.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 17518.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 20848.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 27288,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 23194.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 15008.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 15008.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 15008.4
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 22621.75
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 27288,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 17518.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 20848.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 27288,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 20466
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 27288,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 19920.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 22376.16
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3461.71,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3354.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3461.71,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 17518.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 17764.49
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 19920.24
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 19920.24
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 19920.24
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 19920.24
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 7449.62
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 23194.8
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 20466
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 17246.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 17246.02
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 27288,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 22376.16
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3461.71,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 23194.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 17518.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 17518.9
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 19920.24
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "estimated_amount": 15122
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 23194.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 27288,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 22075.99
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 23194.8
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 18,
              "estimated_amount": 4911.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 22376.16
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3461.71,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3461.71,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3522.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3354.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3354.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3354.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3354.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 17518.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 17518.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 17518.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 22075.99
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "estimated_amount": 15122
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 27288,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 27288,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 27288,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 17764.49
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3354.99,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 17737.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 17246.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 22376.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 20848.03
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 23194.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 17246.02
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3522.74,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Sel Cath Placement Seg or Subseg Pulm Artery",
      "code_information": [
        {
          "code": "PX-36100252",
          "type": "CDM"
        },
        {
          "code": "36015",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1399,
          "discounted_cash": 909.35,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1226.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 769.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1068.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1399,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1021.27
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 923.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 898.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 884.17
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1147.18
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 769.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 769.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1399,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1399,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1189.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 898.16
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1021.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 884.17
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1147.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1147.18
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1189.15
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1189.15
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1189.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 898.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1399,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1399,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1068.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 898.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1399,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1131.79
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1189.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 884.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1226.92
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1147.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 898.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1068.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 910.75
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1021.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 898.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1399,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1399,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1189.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 769.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 769.45
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1159.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 898.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1399,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1021.27
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1399,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 381.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 898.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1068.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 910.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1131.79
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1189.15
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1049.25
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1189.15
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1189.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 884.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 884.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 884.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 884.17
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 769.45
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1159.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 910.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1049.25
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 909.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1399,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1399,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1399,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1399,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1147.18
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1231.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 898.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1399,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1399,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 898.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1068.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1399,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1399,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1147.18
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1159.77
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1049.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 884.17
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1147.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1147.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 898.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1399,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1399,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1189.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 898.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1068.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 910.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 910.75
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1021.27
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1189.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 769.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1399,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1021.27
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1399,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1189.15
            }
          ]
        }
      ]
    },
    {
      "description": "HC Sel Cath Plc Thrc Brch Cphlc Brnch 1st Ord",
      "code_information": [
        {
          "code": "PX-36100259",
          "type": "CDM"
        },
        {
          "code": "36215",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2078,
          "discounted_cash": 1350.7,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1313.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1822.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1703.96
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2078,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2078,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1766.3
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1516.94
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2078,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1703.96
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2078,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1703.96
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2078,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1587.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1352.78
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1352.78
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1516.94
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2078,
              "additional_payer_notes": " ASC LISTED"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1334.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1681.1
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1516.94
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1766.3
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1766.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1703.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1587.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1334.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2078,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2078,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2078,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1766.3
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1371.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1313.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1313.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1313.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1142.9
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2078,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1766.3
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1828.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1822.41
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2078,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "estimated_amount": 140
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1766.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1334.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1334.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1334.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1334.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2078,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1681.1
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1766.3
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1558.5
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1766.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1334.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1352.78
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 1350.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1703.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1142.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2078,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1722.66
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1722.66
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1722.66
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2078,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2078,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1313.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1142.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1334.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1587.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1334.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1352.78
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1352.78
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2078,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2078,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2078,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2078,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2078,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2078,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2078,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1142.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1313.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1587.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1587.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2078,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2078,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1516.94
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2078,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2078,
              "additional_payer_notes": " ASC LISTED"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1766.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1334.08
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1766.3
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2078,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2078,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1766.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1313.3
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2078,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1766.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1334.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2078,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2078,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2078,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2078,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1516.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1334.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1587.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2078,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1516.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1703.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1142.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2078,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2078,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2078,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1313.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1142.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2078,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2078,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2078,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1766.3
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1558.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2078,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2078,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2078,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1766.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1703.96
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2078,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1558.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2078,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 567.29
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1703.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1142.9
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2078,
              "additional_payer_notes": "OUTPATIENT"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Sel Cath Plc 3rd+ Order Abd Pel Le Art Branch",
      "code_information": [
        {
          "code": "PX-36100273",
          "type": "CDM"
        },
        {
          "code": "36247",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1824,
          "discounted_cash": 1185.6,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1152.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1152.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1152.77
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "estimated_amount": 224
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1368
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1171.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1824,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1824,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1824,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1187.42
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1824,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1550.4
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1368
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1824,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1824,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1393.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1824,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1824,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1824,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1824,
              "additional_payer_notes": " ASC LISTED"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1512.1
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1824,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1824,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1599.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1495.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1495.68
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1824,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1550.4
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1550.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1393.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1171.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1824,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1187.42
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1475.62
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1331.52
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1331.52
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1368
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1824,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1824,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1824,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1550.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1152.77
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1003.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1824,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1824,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1495.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1495.68
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1824,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1824,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1393.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1824,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1824,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1824,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1824,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1824,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1824,
              "additional_payer_notes": " ASC LISTED"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1171.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1824,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1331.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1152.77
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1512.1
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1824,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1824,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1475.62
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1331.52
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1331.52
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1550.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1171.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1171.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1187.42
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1550.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1003.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1003.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1824,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1824,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1550.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1152.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1152.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1187.42
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1331.52
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1550.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1171.01
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1495.68
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1003.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1495.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1495.68
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1003.2
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1824,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1171.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1171.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1393.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1171.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1824,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1824,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 1185.6
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1203.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1171.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1171.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1824,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1824,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 497.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1495.68
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1003.2
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1550.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1003.2
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1824,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1393.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1171.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1393.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1824,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1550.4
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1550.4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1550.4
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1550.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1152.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1599.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1824,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1512.1
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1824,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1824,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1824,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1187.42
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1824,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1550.4
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1824,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1824,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1605.12
            }
          ]
        }
      ]
    },
    {
      "description": "HC Therapeutic Apheresis for RBC",
      "code_information": [
        {
          "code": "PX-36100291",
          "type": "CDM"
        },
        {
          "code": "36512",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 8102,
          "discounted_cash": 5266.3,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 7105.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5120.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6643.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5201.48
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8102,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6189.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5201.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5274.4
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 5266.3
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6886.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5120.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6643.64
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4456.1
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6886.7
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5914.46
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6886.7
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6886.7
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 6076.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5201.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5201.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8102,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8102,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5274.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8102,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 7129.76
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8102,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8102,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6886.7
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6886.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6189.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8102,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8102,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5914.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5120.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5120.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5201.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 6554.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8102,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8102,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 6554.52
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6643.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6643.64
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4456.1
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6886.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6643.64
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4456.1
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 6716.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5201.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8102,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8102,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6886.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5274.4
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5914.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5120.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5120.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6643.64
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4456.1
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6886.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4456.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4456.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5201.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6189.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5201.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8102,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8102,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 6076.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8102,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5274.4
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5914.46
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6886.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5120.46
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 6716.56
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 6076.5
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6886.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6189.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8102,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8102,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5201.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6189.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8102,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5274.4
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5914.46
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 6716.56
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4456.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5201.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6189.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8102,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8102,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 5347.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5201.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5201.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8102,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6886.7
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 2211.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 7105.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6643.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6643.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8102,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5914.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5120.46
            }
          ]
        }
      ]
    },
    {
      "description": "HC Declot Cath or Vad by Thrombolytic",
      "code_information": [
        {
          "code": "PX-36100311",
          "type": "CDM"
        },
        {
          "code": "36593",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2933,
          "discounted_cash": 1906.45,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1853.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1853.66
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2431.46
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2493.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1882.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2933,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 295.58,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2933,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2141.09
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1613.15
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2431.46
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 2581.04
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2933,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2240.81
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2493.05
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2493.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2933,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2933,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2372.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "estimated_amount": 2933
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2405.06
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1613.15
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 295.58,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2405.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2405.06
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1613.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 298.54,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1882.99
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1909.38
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "estimated_amount": 2933
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1935.78
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2141.09
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "estimated_amount": 2933
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2199.75
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2493.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1853.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2572.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1613.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1613.15
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2493.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2572.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1613.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 298.54,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 295.58,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2493.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2240.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2933,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2933,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2933,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1909.38
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2141.09
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2493.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1909.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1853.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1853.66
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2405.06
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 298.54,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2933,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2405.06
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 310.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2199.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1882.99
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2493.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1882.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1882.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2933,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2933,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2933,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2933,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2933,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2493.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2405.06
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 295.58,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2933,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2405.06
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2431.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2240.81
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2493.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1909.38
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1909.38
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2141.09
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2141.09
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 295.58,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "estimated_amount": 2933
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 800.71
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2933,
              "additional_payer_notes": " ASC LISTED"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2199.75
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2933,
              "additional_payer_notes": " ASC LISTED"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1882.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2933,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1853.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1853.66
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 295.58,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 295.58,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "estimated_amount": 140
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1882.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2240.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2933,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2933,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1882.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1882.99
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 1906.45
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 298.54,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 295.58,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 295.58,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 310.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 298.54,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1882.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2933,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2372.8
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 295.58,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2493.05
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2493.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2240.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1882.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2933,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2141.09
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2493.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1853.66
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 310.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 310.36,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2240.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1882.99
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "estimated_amount": 2933
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2493.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2405.06
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1613.15
            }
          ]
        }
      ]
    },
    {
      "description": "HC Tibiopero W Atherectmy Ea Addl",
      "code_information": [
        {
          "code": "PX-36100365",
          "type": "CDM"
        },
        {
          "code": "37233",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 5068,
          "discounted_cash": 3294.2,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3202.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3202.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3202.98
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5068,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5068,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3253.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3253.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5068,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3699.64
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4307.8
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 3294.2
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3801
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 3344.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3871.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3253.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3202.98
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5068,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5068,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4307.8
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4307.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3299.27
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5068,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4307.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3253.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5068,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3299.27
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5068,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4307.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2787.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5068,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 1109.89
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4155.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4155.76
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2787.4
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4307.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3253.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4100.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3253.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5068,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3801
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4155.76
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2787.4
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5068,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2787.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2787.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5068,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5068,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3801
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5068,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5068,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5068,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5068,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1383.56
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4307.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3871.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4100.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3299.27
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3699.64
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2787.4
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5068,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5068,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5068,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4155.76
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5068,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3253.66
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5068,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5068,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5068,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4307.8
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4307.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3253.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5068,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5068,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5068,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3299.27
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4307.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4155.76
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2787.4
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4201.37
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3202.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4444.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3871.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5068,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5068,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5068,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5068,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4155.76
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5068,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4307.8
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5068,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5068,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5068,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3253.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3253.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5068,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5068,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3699.64
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5068,
              "additional_payer_notes": " ASC LISTED"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5068,
              "additional_payer_notes": " ASC LISTED"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3871.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5068,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3299.27
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3699.64
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4307.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3202.98
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4155.76
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4201.37
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4201.37
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5068,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 4459.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4444.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4155.76
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5068,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3871.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3253.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5068,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3699.64
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4307.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3253.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3871.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5068,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5068,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5068,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3699.64
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4307.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3202.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3202.98
            }
          ]
        }
      ]
    },
    {
      "description": "HC Cholecystostomy W Img and Cath Plcmnt Perc",
      "code_information": [
        {
          "code": "PX-36100396",
          "type": "CDM"
        },
        {
          "code": "47490",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 10337,
          "discounted_cash": 6719.05,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6532.98
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7546.01
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10337,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10337,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10337,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6729.39
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 8362.63
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10337,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 7752.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6532.98
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8786.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5685.35
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 7752.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6636.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7897.47
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6729.39
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8786.45
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 7752.75
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 6822.42
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6729.39
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6729.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8476.34
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 8569.37
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8786.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6532.98
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8476.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8476.34
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5685.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5685.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6636.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10337,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7897.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7897.47
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7546.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6532.98
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8476.34
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5685.35
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8786.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6636.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6636.35
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7546.01
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8786.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 9065.55
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8786.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6636.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7897.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10337,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10337,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10337,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8786.45
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8786.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7897.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6636.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10337,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10337,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10337,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 2822
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6532.98
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8476.34
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5685.35
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8786.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6532.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7897.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10337,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 8362.63
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7546.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 9065.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8476.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8476.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6532.98
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5685.35
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 9096.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6636.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10337,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 6719.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6636.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6636.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10337,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10337,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10337,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10337,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6729.39
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10337,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8786.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6532.98
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8476.34
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 8569.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6636.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10337,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10337,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6636.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6636.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10337,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7546.01
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7546.01
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10337,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8786.45
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8786.45
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 8569.37
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5685.35
            }
          ]
        }
      ]
    },
    {
      "description": "HC Replace G J Tube W Fluoro",
      "code_information": [
        {
          "code": "PX-36100437",
          "type": "CDM"
        },
        {
          "code": "49452",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 8078,
          "discounted_cash": 5250.7,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5105.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5105.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4442.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4442.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 799.08,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 6535.1
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5896.94
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5896.94
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "estimated_amount": 3580
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6171.59
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6866.3
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 8078,
              "additional_payer_notes": " ASC LISTED"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6623.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 6696.66
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 813.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 774.44,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 6058.5
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 8078,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5186.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5186.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5186.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5186.08
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5896.94
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6866.3
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 5250.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5105.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4442.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 799.08,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 774.44,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4442.9
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 774.44,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 774.44,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 8078,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8078,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5258.78
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5896.94
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5896.94
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 2205.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6171.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6171.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5186.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8078,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8078,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6866.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 799.08,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 813.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6866.3
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 813.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 774.44,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5186.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6171.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8078,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6866.3
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 6058.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8078,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8078,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 6535.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 7084.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 7084.41
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4442.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4442.9
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 813.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6623.96
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 774.44,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 6696.66
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 774.44,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6171.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8078,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8078,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8078,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 774.44,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "estimated_amount": 3580
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5186.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5186.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6171.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8078,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8078,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6623.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6623.96
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6866.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5186.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8078,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8078,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8078,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6866.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5258.78
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6866.3
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6866.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5186.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8078,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8078,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5258.78
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 774.44,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6866.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6623.96
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 799.08,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6866.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6623.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6623.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5186.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8078,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5258.78
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 774.44,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6866.3
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 6058.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5258.78
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "estimated_amount": 3580
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "estimated_amount": 3580
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5105.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5105.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5105.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6623.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 6696.66
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 1769.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5186.08
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5896.94
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 8078,
              "additional_payer_notes": " ASC LISTED"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 5331.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5105.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5105.3
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 8078,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "estimated_amount": 3580
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6866.3
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6866.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4442.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 799.08,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 7108.64
            }
          ]
        }
      ]
    },
    {
      "description": "Cryoablation Renal Tumor Unilat",
      "code_information": [
        {
          "code": "PX-36100459",
          "type": "CDM"
        },
        {
          "code": "50593",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 14514,
          "discounted_cash": 9434.1,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9172.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9172.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7982.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14514,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12336.9
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 3962.32
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12336.9
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 10885.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9317.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9317.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14514,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12336.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9172.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9172.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 11901.48
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 11901.48
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 11901.48
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9234.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9074.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7982.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7982.7
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 8794.3,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12336.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14514,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 10595.22
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 8984.2,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9317.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 11088.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 9448.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14514,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 9434.1
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 18,
              "estimated_amount": 2612.52
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12336.9
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9234.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 11901.48
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 11901.48
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7982.7
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12336.9
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 10885.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9317.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14514,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 8984.2,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 18,
              "estimated_amount": 2612.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 11088.7
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "estimated_amount": 14514
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "estimated_amount": 14514
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 9579.24
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 12032.11
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 8794.3,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 11088.7
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12336.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9317.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14514,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14514,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14514,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14514,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12336.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9074.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 14514,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 14514,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9172.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9074.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 12032.11
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 8794.3,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9317.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14514,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 12772.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 9448.61
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 10595.22
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "estimated_amount": 14514
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9317.99
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 10595.22
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 8984.2,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12336.9
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 10885.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 12728.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9172.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 11901.48
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7982.7
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9234.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12336.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 12728.78
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7982.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9074.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 8794.3,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 3178.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 11088.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14514,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14514,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14514,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 11741.83
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "estimated_amount": 14514
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9317.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 11088.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9317.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14514,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14514,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 11741.83
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 9448.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 9448.61
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 10595.22
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 8984.2,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12336.9
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12336.9
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12336.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 11901.48
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7982.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9074.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12336.9
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9234.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9317.99
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 10595.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 11088.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9317.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14514,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 9448.61
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 10595.22
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "estimated_amount": 14514
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9172.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 11901.48
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 14514,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9317.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14514,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9172.85
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 12032.11
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 8984.2,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 8794.3,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Amniocentesis Diagnostic",
      "code_information": [
        {
          "code": "PX-36100494",
          "type": "CDM"
        },
        {
          "code": "59000",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2573,
          "discounted_cash": 1672.45,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2256.52
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 736.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2573,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1651.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1965.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1965.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1651.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2573,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2187.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2081.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1675.02
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 701.64,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "estimated_amount": 2573
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2187.05
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1929.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2256.52
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 708.66,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 701.64,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2133.02
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 736.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 701.64,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2573,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2187.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2573,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1675.02
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1675.02
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "estimated_amount": 2573
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "estimated_amount": 2573
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2187.05
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1878.29
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 701.64,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2187.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1415.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1965.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1675.02
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2187.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1651.87
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2187.05
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 702.43
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2573,
              "additional_payer_notes": " ASC LISTED"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1415.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1415.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 708.66,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 736.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1626.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2109.86
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2109.86
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1415.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 708.66,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 708.66,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 701.64,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1965.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2573,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2573,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1878.29
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2187.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1651.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2573,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2573,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1878.29
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "estimated_amount": 2573
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2109.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1626.14
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1415.15
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2573,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1651.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2573,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "estimated_amount": 2573
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 1672.45
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2573,
              "additional_payer_notes": " ASC LISTED"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2573,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2187.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2109.86
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 701.64,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2187.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1651.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2573,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 701.64,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1878.29
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 701.64,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2187.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2573,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1626.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1626.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2109.86
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1415.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1626.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1626.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1651.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2573,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2081.56
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2187.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1651.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1651.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2573,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2573,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2573,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1878.29
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 701.64,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2187.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2109.86
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2133.02
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 736.72,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2187.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1626.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1626.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2109.86
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2133.02
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 708.66,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "estimated_amount": 140
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1651.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1965.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1965.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2573,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2573,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1675.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1651.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1651.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2573,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 701.64,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 2264.24
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1929.75
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1878.29
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1929.75
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1698.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2109.86
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1415.15
            }
          ]
        }
      ]
    },
    {
      "description": "Revision W Replacement of Spinal Neurostimulator Electrode",
      "code_information": [
        {
          "code": "PX-36100539",
          "type": "CDM"
        },
        {
          "code": "63663",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 25142,
          "discounted_cash": 16342.3,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 15889.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 15889.74
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 20616.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 20616.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13828.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 16141.16
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 16342.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 19208.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25142,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25142,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 21370.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 15889.74
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13828.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 22049.53
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 20616.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13828.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 19208.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25142,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25142,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 16367.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 19208.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 16141.16
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 18353.66
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 20616.44
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 21370.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25142,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25142,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 16367.44
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 18353.66
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25142,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25142,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25142,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 20616.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 20616.44
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 21370.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 19208.49
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 21370.7
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 18856.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 16141.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13828.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 19208.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 16141.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 16141.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25142,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 20339.88
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25142,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 16141.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 16141.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25142,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25142,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 20339.88
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25142,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 21370.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 15889.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 15889.74
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 20616.44
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 20842.72
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 20842.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 16141.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25142,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25142,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 22124.96
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 16367.44
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 18353.66
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 21370.7
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 21370.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 19208.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 16141.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25142,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 15889.74
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 18856.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 15889.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 16141.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 16141.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25142,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 18353.66
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 18353.66
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25142,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 16593.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25142,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 16367.44
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 18353.66
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 21370.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 22049.53
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 20616.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 15889.74
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13828.1
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 20842.72
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25142,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 6863.77
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 21370.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 16141.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25142,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 16367.44
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 21370.7
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 18856.5
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 21370.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13828.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 13828.1
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 21370.7
            }
          ]
        }
      ]
    },
    {
      "description": "Injection Anes/Steroid Intercostal Nerve Single",
      "code_information": [
        {
          "code": "PX-36100547",
          "type": "CDM"
        },
        {
          "code": "64420",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 3506,
          "discounted_cash": 2278.9,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3074.76
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2906.47
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 603.57,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 609.61,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "estimated_amount": 423
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 3085.28
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3506,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2250.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3506,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2559.38
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 603.57,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3506,
              "additional_payer_notes": " ASC LISTED"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2250.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2250.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2980.1
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2980.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1928.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1928.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 609.61,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 603.57,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2215.79
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 603.57,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 633.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2980.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2250.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2678.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3506,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3506,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2836.35
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "estimated_amount": 3506
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "estimated_amount": 3506
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2250.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2250.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3506,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3506,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3506,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2559.38
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2980.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2215.79
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 609.61,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 603.57,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3506,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1928.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1928.3
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 633.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2250.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2678.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3506,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3506,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2980.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2250.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2282.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2874.92
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 633.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3506,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2250.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2250.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3506,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2836.35
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 2278.9
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2980.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2250.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3506,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "estimated_amount": 3506
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2215.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2215.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2874.92
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2282.41
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2559.38
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2980.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2678.58
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "estimated_amount": 3506
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2629.5
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2980.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2215.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2874.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1928.3
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2980.1
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2906.47
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2629.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3506,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 603.57,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "estimated_amount": 3506
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 2313.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2678.58
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2629.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2215.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2874.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1928.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 609.61,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 603.57,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2906.47
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 633.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2980.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2215.79
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 603.57,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2678.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3506,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3506,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2559.38
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 957.14
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2980.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3506,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2282.41
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2980.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2874.92
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2874.92
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 609.61,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2678.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3506,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3506,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2282.41
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2559.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2250.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3506,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2980.1
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3506,
              "additional_payer_notes": " ASC LISTED"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3074.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2874.92
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2874.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1928.3
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 603.57,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2980.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2282.41
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2559.38
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 603.57,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2215.79
            }
          ]
        }
      ]
    },
    {
      "description": "Injection Anes/Steroid Plantar Common Digital Nerve",
      "code_information": [
        {
          "code": "PX-36100556",
          "type": "CDM"
        },
        {
          "code": "64455",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 268,
          "discounted_cash": 174.2,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 169.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 169.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 172.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 172.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 204.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 268,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 174.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 268,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 174.47
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 195.64
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 235.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 204.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 204.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 172.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 172.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 268,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 268,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 73.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 172.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 174.47
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 195.64
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 268,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 227.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 219.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 219.76
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 147.4
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 227.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 268,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 268,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 227.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 172.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 268,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 227.8
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 176.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 169.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 147.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 147.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 169.38
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 227.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 172.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 174.47
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 268,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 147.4
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 227.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 235.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 219.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 219.76
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 222.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 268,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 195.64
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 195.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 172.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 268,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 216.81
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 268,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 268,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 219.76
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 227.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 219.76
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 222.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 172.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 204.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 268,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 268,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 216.81
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 268,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 227.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 172.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 268,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 169.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 147.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 169.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 169.38
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 201
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 201
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 172.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 204.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 204.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 268,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 268,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 268,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 195.64
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 201
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 227.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 219.76
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 147.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 235.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 169.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 219.76
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 222.17
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 195.64
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 227.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 172.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 268,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 147.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 268,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 174.47
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 227.8
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 174.2
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 227.8
            }
          ]
        }
      ]
    },
    {
      "description": "HC Sacroplasty Inj Bilat W Balloon or Device",
      "code_information": [
        {
          "code": "PX-36100609",
          "type": "CDM"
        },
        {
          "code": "0201T",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 38069,
          "discounted_cash": 24744.85,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 33386.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 24059.61
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 20937.95
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 38069,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6306.4,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 24440.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 29084.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 29084.72
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 27790.37
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 24744.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 24440.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 24440.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 38069,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 38069,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 32358.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 24059.61
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 31559.2
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6556.16,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 20937.95
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 38069,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 32358.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 24440.3
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 28551.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 38069,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 32358.65
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 31559.2
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6556.16,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 24440.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 38069,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 38069,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6243.96,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 29084.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 38069,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 38069,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 31216.58
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 20937.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6306.4,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6306.4,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6556.16,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6243.96,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 24440.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 38069,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 38069,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 24782.92
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 27790.37
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "estimated_amount": 30540
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 32358.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 38069,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 38069,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 38069,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 30797.82
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 24782.92
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 27790.37
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 20937.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6306.4,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 32358.65
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 28551.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 24059.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 24059.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 24059.61
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 20937.95
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6243.96,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 38069,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 24782.92
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 27790.37
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6243.96,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 32358.65
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 32358.65
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "estimated_amount": 30540
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 32358.65
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 10392.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 24059.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 33386.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 31216.58
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6243.96,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 31216.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 24440.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 29084.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 29084.72
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 8337.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 24782.92
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 25125.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 24440.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 24440.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 24440.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 38069,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "estimated_amount": 30540
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 32358.65
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 32358.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 31216.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 31216.58
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 20937.95
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6243.96,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6243.96,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 31216.58
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6243.96,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 38069,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 24782.92
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6243.96,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 24440.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "estimated_amount": 30540
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6243.96,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 32358.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6306.4,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 31559.2
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 38069,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 24440.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 38069,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 27790.37
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "estimated_amount": 30540
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 38069,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 28551.75
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 32358.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 29084.72
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 30797.82
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 32358.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 31216.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 31216.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 38069,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 27790.37
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 32358.65
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 38069,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 24059.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 24059.61
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 20937.95
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6556.16,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 33500.72
            }
          ]
        }
      ]
    },
    {
      "description": "HC Translum Peripheral Atherectomy Iliac Artery",
      "code_information": [
        {
          "code": "PX-36100614",
          "type": "CDM"
        },
        {
          "code": "0238T",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 30604,
          "discounted_cash": 19892.6,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 26839.71
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 16832.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 19647.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 23381.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 19647.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 19923.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 19647.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 19647.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 30604,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 30604,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 30604,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 24758.64
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "estimated_amount": 30604
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "estimated_amount": 30604
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 26013.4
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 8354.89
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 26013.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 16832.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 16832.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 16832.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15457.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 14980.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 6702.28
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 30604,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15457.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 19341.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 19341.73
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 25095.28
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 26013.4
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 26931.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 30604,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 30604,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 22340.92
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "estimated_amount": 30604
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 26013.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 23381.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 23381.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 30604,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 22340.92
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "estimated_amount": 30604
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 14980.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 22953
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15729.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 19341.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 19341.73
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 14980.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 19647.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 19647.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 19647.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 19647.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 30604,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 19923.2
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 14980.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 26013.4
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 26013.4
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 26013.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 25095.28
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 22953
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 25095.28
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15457.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15729.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 30604,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 30604,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 30604,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 22340.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 30604,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 30604,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 19341.73
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 25095.28
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 30604,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 25095.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 23381.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 19923.2
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 26013.4
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 26013.4
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 20198.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 30604,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 19923.2
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 14980.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 25095.28
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15729.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 25370.72
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 14980.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 14980.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 30604,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 26013.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 19923.2
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 22953
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 23381.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 19647.77
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 22340.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 19341.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 19341.73
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 25095.28
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15729.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 30604,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 26013.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 16832.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 16832.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15457.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 14980.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 19647.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 24758.64
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 19892.6
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 30604,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 22340.92
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "estimated_amount": 30604
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 19341.73
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 26013.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 16832.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 25370.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 19647.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 19647.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 23381.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 30604,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 30604,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 30604,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 26013.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 26839.71
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 25370.72
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 22340.92
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 30604,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 26013.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 25095.28
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 14980.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 14980.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15457.43,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "Insert Nontunnel Central Insert Cath Younger Than 5 Yrs",
      "code_information": [
        {
          "code": "PX-36100713",
          "type": "CDM"
        },
        {
          "code": "36555",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 3307,
          "discounted_cash": 2149.55,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2090.02
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2675.36
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2414.11
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3307,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3307,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3307,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2123.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2123.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2123.09
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2810.95
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2480.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2711.74
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2480.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2526.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3307,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3307,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2152.86
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3307,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2480.25
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2810.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2900.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2090.02
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2741.5
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2810.95
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2810.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1818.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2123.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2526.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3307,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2414.11
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2810.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3307,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2675.36
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2711.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2900.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2090.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2526.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3307,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3307,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3307,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2414.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2123.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3307,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2152.86
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1818.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1818.85
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2810.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2526.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2123.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3307,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2414.11
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 902.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2123.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3307,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2152.86
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3307,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2090.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2711.74
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2711.74
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2711.74
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2741.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1818.85
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2741.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2526.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3307,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3307,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3307,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3307,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2414.11
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2810.95
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 2149.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2123.09
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2810.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2090.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2711.74
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2810.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2123.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2123.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2526.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3307,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3307,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2152.86
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2414.11
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2810.95
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 2182.62
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2810.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1818.85
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 2910.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2090.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2090.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2090.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2711.74
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1818.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2123.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3307,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2152.86
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2810.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1818.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2123.09
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2711.74
            }
          ]
        }
      ]
    },
    {
      "description": "Island Composite Drsg Adhesive Alldress 6 in X 6 In",
      "code_information": [
        {
          "code": "PX-CH-SM65346",
          "type": "CDM"
        },
        {
          "code": "A6205",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2.68,
          "discounted_cash": 1.74,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.69
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.2
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.68,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2.17
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.96
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.68,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.74
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.96
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.68,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.28
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.28
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.68,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.68,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.96
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.68,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.28
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.74
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.69
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.47
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2.22
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.28
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.68,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.68,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.68,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.74
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.69
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.68,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.68,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.68,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.69
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.47
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.47
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2.22
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 2.36
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.68,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.49
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.49
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.68,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.68,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.68,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2.17
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.69
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.2
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.47
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.68,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 1.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2.22
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.74
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.96
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.49
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.28
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.28
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2.01
            }
          ]
        }
      ]
    },
    {
      "description": "HC US Transrectal",
      "code_information": [
        {
          "code": "PX-40200034",
          "type": "CDM"
        },
        {
          "code": "76872",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1362,
          "discounted_cash": 885.3,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 860.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1116.84
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1021.5
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1157.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 874.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 874.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 874.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1040.57
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 994.26
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1362
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 749.1
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 96.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1116.84
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 100.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 874.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 874.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1040.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1362,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 994.26
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 755.91
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 885.3
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 898.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1362,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1362,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1362,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1362,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 749.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 96.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 100.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1362,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1129.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1362,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1101.86
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 755.91
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1157.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1362,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1021.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1194.47
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 96.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1362,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 100.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1194.47
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1116.84
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 749.1
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1198.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1362,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1362,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1362,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 886.66
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 994.26
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1157.7
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1021.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1040.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1040.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1362,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 994.26
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1157.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1116.84
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 749.1
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1157.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 860.78
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 749.1
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1157.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1362,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1362,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1362,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1157.7
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 371.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 860.78
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 96.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1129.1
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1129.1
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 749.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 96.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 874.4
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1362,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 874.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1362,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 886.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 886.66
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1157.7
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1362,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1157.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 860.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1116.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1116.84
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 100.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1040.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1040.57
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 886.66
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1157.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 874.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 874.4
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1157.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 860.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 860.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1116.84
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 749.1
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 874.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1362,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1362,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 994.26
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 994.26
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 755.91
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1157.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1362,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 886.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1101.86
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 755.91
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1157.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 860.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 860.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 874.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 874.4
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1157.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1116.84
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 298.28
            }
          ]
        }
      ]
    },
    {
      "description": "HC US Guided Amniocentesis",
      "code_information": [
        {
          "code": "PX-40200045",
          "type": "CDM"
        },
        {
          "code": "76946",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 265,
          "discounted_cash": 172.25,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 167.48
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 145.75
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 219.69
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 265,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 265,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 170.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 202.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 170.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 170.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 172.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 214.39
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 193.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 147.08
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 265,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 167.48
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 145.75
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 265,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 225.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 217.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 217.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 217.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 265,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 265,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 219.69
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 265,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 170.13
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 193.45
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 265,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 265,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 265,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 172.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 145.75
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 265,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 225.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 217.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 145.75
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 265,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 198.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 170.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 202.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 170.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 265,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 265,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 193.45
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 72.35
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 225.25
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 225.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 202.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 265,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 265,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 265,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 147.08
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 225.25
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 265,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 225.25
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 265,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 265,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 170.13
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 193.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 265,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 172.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 172.52
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 225.25
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 225.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 232.41
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 145.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 145.75
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 265,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 217.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 265,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 202.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 265,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 172.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 214.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 170.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 170.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 265,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 265,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 172.52
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 265,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 225.25
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 198.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 217.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 265,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 265,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 265,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 265,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 265,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 265,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 170.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 202.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 202.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 265,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 147.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 167.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 167.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 167.48
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 265,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 225.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 167.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 232.41
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 145.75
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 265,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 233.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 170.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 170.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 265,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 225.25
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 225.25
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 225.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 167.48
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 219.69
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 217.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 217.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 265,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 265,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 193.45
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 193.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 265
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 225.25
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 174.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 265,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 265,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 147.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 167.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 265,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 198.75
            }
          ]
        }
      ]
    },
    {
      "description": "HC Pentamidine Aerosol Inhalation",
      "code_information": [
        {
          "code": "PX-41000024",
          "type": "CDM"
        },
        {
          "code": "94642",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2174,
          "discounted_cash": 1413.1,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1373.97
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1782.68
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1195.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1660.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1660.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2174,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2174,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1587.02
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 186.16,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 593.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1395.71
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1415.27
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1587.02
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1206.57
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2174
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1847.9
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 1413.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1373.97
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1195.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1195.7
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1802.25
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1847.9
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1913.12
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1206.57
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1630.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1395.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1373.97
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 188.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 186.16,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1195.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1395.71
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2174,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1395.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2174,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2174,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1906.6
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 186.16,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 186.16,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2174,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1373.97
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 188.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1660.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1415.27
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1847.9
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1847.9
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1847.9
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1847.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1660.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2174,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1847.9
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1434.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1373.97
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1782.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1782.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1782.68
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1802.25
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1630.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1195.7
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 186.16,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1802.25
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 186.16,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1847.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1395.71
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1758.77
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1847.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1395.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1395.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2174,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1587.02
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2174,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1782.68
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 186.16,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 188.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 476.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2174,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 195.46,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2174,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1847.9
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1206.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1395.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1395.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1660.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1660.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2174,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 186.16,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1847.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1782.68
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1195.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1195.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 188.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2174,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1847.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1395.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1395.71
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1415.27
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1847.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2174,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1587.02
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 186.16,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1373.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1373.97
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1782.68
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2174,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1906.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 188.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2174,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2174,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1415.27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1758.77
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1847.9
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1630.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1395.71
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2174,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2174,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1415.27
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1587.02
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1206.57
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 195.46,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 195.46,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2174,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2174,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2174,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1587.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1373.97
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1782.68
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 186.16,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 195.46,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Postural Drainage Percussion Init",
      "code_information": [
        {
          "code": "PX-41000035",
          "type": "CDM"
        },
        {
          "code": "94667",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 490,
          "discounted_cash": 318.5,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 309.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 309.68
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 114.59,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 416.5
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 431.2
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 367.5
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 416.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 314.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 490,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 396.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 374.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 490,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 490,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 109.13,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 309.68
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 112.6,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 114.59,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 109.13,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 269.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 109.13,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 114.59,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 271.95
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 271.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 374.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 314.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 490,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 490,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 490,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 396.41
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 416.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 309.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 309.68
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 112.6,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 109.13,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 416.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 314.58
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 109.13,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 323.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 490,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 490,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 109.13,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 367.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 112.6,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 112.6,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 416.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 269.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 406.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 314.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 314.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 314.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 314.58
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 357.7
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 357.7
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 416.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 416.5
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 416.5
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 416.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 401.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 401.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 269.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 309.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 401.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 269.5
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 112.6,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 490,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 314.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 490,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 318.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 374.36
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 357.7
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 416.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 309.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 429.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 429.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 314.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 314.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 490,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 318.99
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 416.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 374.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 374.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 490,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 490,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 318.99
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 357.7
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 416.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 416.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 269.5
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 109.13,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 309.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 401.8
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 406.21
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 109.13,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 318.99
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 318.99
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 357.7
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 133.77
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 416.5
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 318.5
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 490,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 314.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 374.36
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 367.5
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 490,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 401.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 401.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 401.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 269.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 109.13,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 490,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 490,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 401.8
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 114.59,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 490,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 490,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 271.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 490,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 490,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 490,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 269.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 314.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 490,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 357.7
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 490
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 271.95
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 406.21
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 109.13,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "2 Pc Pouch 2 3/4 in Sur-Fit Invisclose W/ Filter",
      "code_information": [
        {
          "code": "PX-CH-CV4164-22",
          "type": "CDM"
        },
        {
          "code": "A4425",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 6.11,
          "discounted_cash": 3.97,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.86
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.01
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.36
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4.94
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.46
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 6.11,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.98
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.46
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.46
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.39
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 4.03
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 5.36
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.19
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.98
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.46
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.01
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 5.07
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.86
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.01
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.36
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.39
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 6.11,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.36
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.19
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.39
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.19
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.19
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.86
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.01
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.86
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.01
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 5.07
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.86
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 5.07
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.92
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 5.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.98
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.86
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.36
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.01
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.01
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.36
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.39
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.67
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.19
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.86
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.98
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.67
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 6.11
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 5.36
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5.01
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1.67
            }
          ]
        }
      ]
    },
    {
      "description": "HC Pt Fluidotherapy or Whirlpool",
      "code_information": [
        {
          "code": "PX-42000012",
          "type": "CDM"
        },
        {
          "code": "97022",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 135,
          "discounted_cash": 87.75,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 85.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 110.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 74.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 74.25
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 135,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 114.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 87.89
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 114.75
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 135,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 101.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 86.67
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 36.86
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 74.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 85.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 74.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 16.01
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 135,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 101.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 86.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 86.67
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 98.55
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 114.75
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 114.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 86.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 86.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 135,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 114.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 74.25
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 111.92
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 16.01
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 16.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 86.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 135,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 135,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 114.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 103.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 135,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 98.55
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 98.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 85.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 110.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 110.7
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 16.01
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 16.01
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 135,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 16.81
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 22.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 135,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 87.89
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 16.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 103.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 135,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 135,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 114.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 101.25
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 135,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 114.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 110.7
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 16.01
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 16.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 103.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 135,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 74.93
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 87.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 135,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 109.22
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 98.55
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 74.93
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 114.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 110.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 74.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 16.01
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 16.01
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 114.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 16.01
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 16.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 135,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 135,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 114.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 109.22
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 87.89
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 135
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 16.01
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 114.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 86.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 86.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 86.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 86.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 86.67
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 98.55
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 16.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 85.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 85.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 85.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 110.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 16.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 135,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 89.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 135,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 87.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 87.89
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 74.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 85.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 74.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 118.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 85.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 103.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 103.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 135,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 74.93
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 135,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 114.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 135,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 135,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 135,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 98.55
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 16.01
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 114.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 118.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 110.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 110.7
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 111.92
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 111.92
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 16.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 103.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 86.67
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 118.8
            }
          ]
        }
      ]
    },
    {
      "description": "\"Washcloth Disposable 10\"\" X 13\"\" Dry Washcloth\"",
      "code_information": [
        {
          "code": "PX-CH-A1-AT913",
          "type": "CDM"
        },
        {
          "code": "A9270",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.05,
          "discounted_cash": 0.03,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 0.05,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.01
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 0.05,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.03
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.04
            }
          ]
        }
      ]
    },
    {
      "description": "Pt Bwc Ergonomic Study 15 Min",
      "code_information": [
        {
          "code": "PX-42000042",
          "type": "CDM"
        },
        {
          "code": "W0644",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 144,
          "discounted_cash": 93.6,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 126.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 91.01
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 118.08
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 122.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 90.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 90.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 93.74
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 105.12
            },
            {
              "payer_name": "PARAMOUNT [555]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 122.4
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 95.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 92.45
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 92.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 90.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 93.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 116.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 118.08
            },
            {
              "payer_name": "HEALTHREACH [540]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 79.2
            },
            {
              "payer_name": "MMO [485]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 91.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 92.45
            },
            {
              "payer_name": "AETNA [310]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 92.45
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 90.43
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 64.9,
              "estimated_amount": 93.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 93.74
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
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              "standard_charge_percentage": 100,
              "estimated_amount": 144
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 79.92
            },
            {
              "payer_name": "HEALTHLINK [443]",
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              "standard_charge_percentage": 75,
              "estimated_amount": 108
            },
            {
              "payer_name": "COVENTRY [406]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 122.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 92.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
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              "standard_charge_percentage": 64.2,
              "estimated_amount": 92.45
            },
            {
              "payer_name": "UHC [625]",
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              "standard_charge_percentage": 62.8,
              "estimated_amount": 90.43
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 119.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 118.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
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              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 118.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 90.43
            },
            {
              "payer_name": "OSU [553]",
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              "standard_charge_percentage": 73,
              "estimated_amount": 105.12
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 122.4
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
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              "standard_charge_percentage": 75,
              "estimated_amount": 108
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 122.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
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              "standard_charge_percentage": 63.2,
              "estimated_amount": 91.01
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 79.2
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 122.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 110.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 90.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 116.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 105.12
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 39.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 92.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 110.02
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 79.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 79.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 79.2
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 122.4
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 108
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 93.46
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 79.92
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 93.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 110.02
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 93.74
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 79.92
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 122.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 126.29
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 118.08
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 79.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 91.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 91.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 90.43
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 122.4
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 126.72
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 105.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 90.43
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 122.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 91.01
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 118.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 91.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 110.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 92.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 110.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 92.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 90.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 93.46
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 122.4
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 122.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 91.01
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 79.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 118.08
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 119.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 92.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 92.45
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 105.12
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 79.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 92.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 110.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 90.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 90.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 93.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 90.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 93.74
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 118.08
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 119.38
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 105.12
            }
          ]
        }
      ]
    },
    {
      "description": "HC Positional Nystagmus 4 Position W/Recording",
      "code_information": [
        {
          "code": "PX-92000010",
          "type": "CDM"
        },
        {
          "code": "92542",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 362,
          "discounted_cash": 235.3,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 228.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 228.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 228.78
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 271.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 232.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 362,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 362,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 235.66
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 264.26
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 362
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 307.7
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 238.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 232.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 292.86
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 235.66
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 300.1
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 117.06,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 117.06,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 228.78
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 117.06,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 307.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 232.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 232.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 362,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 362,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 307.7
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 271.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 228.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 296.84
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 112.6,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 362,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 276.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 276.57
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 200.91
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 307.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 232.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 362,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 264.26
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 200.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 228.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 296.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 296.84
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 112.6,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 111.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 111.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 307.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 228.78
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 199.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 199.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 232.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 232.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 362,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 362,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 264.26
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 200.91
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 362,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 362,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 111.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 307.7
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 307.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 199.1
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 300.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 317.47
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 111.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 117.06,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 111.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 307.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 232.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 276.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 362,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 111.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 307.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 296.84
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 112.6,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 112.6,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 300.1
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 362,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 318.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 228.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 296.84
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 111.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 276.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 362,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 307.7
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 307.7
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 362,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 307.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 296.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 296.84
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 307.7
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 307.7
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 271.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 276.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 232.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 362,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 362,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 362,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 235.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 235.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 235.66
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 264.26
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 112.6,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 362,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 317.47
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 296.84
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 199.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 276.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 232.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 362,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 362,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 264.26
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 200.91
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 232.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 232.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 362,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 292.86
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 111.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 362,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 199.1
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 111.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 111.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 362,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 264.26
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 98.83
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 235.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 199.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 199.1
            }
          ]
        }
      ]
    },
    {
      "description": "HC Application Cast Short Arm",
      "code_information": [
        {
          "code": "PX-43000002",
          "type": "CDM"
        },
        {
          "code": "29075",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 425,
          "discounted_cash": 276.25,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 268.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 348.5
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 318.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 425,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 425,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 310.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 268.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 268.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 268.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 348.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 233.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 272.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 324.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 425,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 235.88
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 235.88
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 361.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 272.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 272.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 425,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 425,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 310.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 235.88
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 425
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 352.33
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 374
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 272.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 425,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 425,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 276.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 343.83
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 310.25
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 361.25
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 276.25
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 361.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 268.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 372.73
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 348.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 233.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 268.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 324.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 272.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 425,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 425,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 425,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 310.25
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 361.25
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 352.33
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 361.25
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 361.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 272.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 425,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 276.68
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 235.88
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 280.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 272.85
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 310.25
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 352.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 268.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 272.85
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 361.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 343.83
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 361.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 272.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 272.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 324.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 425,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 425,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 425,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 310.25
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 361.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 348.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 348.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 348.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 348.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 348.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 425,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 425,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 324.7
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 361.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 276.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 276.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 272.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 272.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 324.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 425,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 276.68
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 361.25
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 318.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 233.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 233.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 233.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 324.7
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 116.03
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 318.75
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 361.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 268.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 372.73
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 233.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 233.75
            }
          ]
        }
      ]
    },
    {
      "description": "HC St Ped Treat Complex",
      "code_information": [
        {
          "code": "PX-44000003",
          "type": "CDM"
        },
        {
          "code": "92507",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 416,
          "discounted_cash": 270.4,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 262.91
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 312
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 267.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 416,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 230.88
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 270.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 336.54
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 353.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 364.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 262.91
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 73.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 267.07
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 303.68
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 416,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 416,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 270.82
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 73.42
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 73.42
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 230.88
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 353.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 262.91
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 228.8
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 344.86
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 344.86
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 73.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 228.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 267.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 267.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 416,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 267.07
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 270.82
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 270.82
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 336.54
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 303.68
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 353.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 262.91
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 73.42
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 73.42
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 353.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 262.91
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 73.42
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 73.42
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 77.09
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 416,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 303.68
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 303.68
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 312
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 353.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 267.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 317.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 267.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 317.82
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 303.68
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 353.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 228.8
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 353.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 341.12
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 78.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 267.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 416,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 416,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 416,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 270.82
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 303.68
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 416,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 262.91
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 341.12
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 73.42
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 73.42
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 73.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 228.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 73.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 267.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 267.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 416,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 416,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 416,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 416,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 73.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 317.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 317.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 416,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 416,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 416,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 353.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 341.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 341.12
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 416,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 341.12
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 73.42
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 73.42
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 73.42
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 353.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 317.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 416,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 270.82
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 416
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 353.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 267.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 262.91
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 344.86
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 416,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 341.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 341.12
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 228.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 228.8
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 366.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 317.82
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 113.57
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 312
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 267.07
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 230.88
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 353.6
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 353.6
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 353.6
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 274.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 364.83
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 73.42
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 416,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 416,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 416,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 416,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 230.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 262.91
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 341.12
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 228.8
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 353.6
            }
          ]
        }
      ]
    },
    {
      "description": "HC St Eval Speech Device 1st Hr",
      "code_information": [
        {
          "code": "PX-44400005",
          "type": "CDM"
        },
        {
          "code": "92607",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 405,
          "discounted_cash": 263.25,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 255.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 332.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 222.75
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 124.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 260.01
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 267.3
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 344.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 260.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 405,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 405,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 344.25
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 344.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 355.19
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 303.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 255.96
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 222.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 327.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 263.66
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 224.78
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 405
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 260.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 405,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 405,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 263.66
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 295.65
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 110.57
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 344.25
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 303.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 255.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 255.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 332.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 332.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 222.75
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 118.49
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 118.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 255.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 332.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 118.49
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 125.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 309.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 309.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 309.42
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 295.65
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 405,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 260.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 309.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 405,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 224.78
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 344.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 355.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 332.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 118.49
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 335.75
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 118.49
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 118.49
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 118.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 260.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 405,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 263.66
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 344.25
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 344.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 222.75
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 344.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 255.96
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 118.49
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 335.75
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 118.49
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 344.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 260.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 405,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 405,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 327.65
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 118.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 309.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 405,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 405,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 224.78
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 118.49
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 224.78
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 344.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 222.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 118.49
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 405,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 332.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 260.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 260.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 405,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 344.25
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 263.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 405,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 405,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 405,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 405,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 295.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 255.96
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 405,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 255.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 332.1
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 118.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 260.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 309.42
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 263.66
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 344.25
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 405,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 260.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 263.66
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 332.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 222.75
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 405,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 222.75
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 344.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 260.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 405,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 295.65
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 118.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 405,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 295.65
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 344.25
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 303.75
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 118.49
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 335.75
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 405,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 356.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 260.01
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 295.65
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 118.49
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 118.49
            }
          ]
        }
      ]
    },
    {
      "description": "HC Endvsc Rep Infrnl Aort/Ilc Art by Aorto-Bi-Ilc Endgrft Not Rupt W Img",
      "code_information": [
        {
          "code": "PX-36100896",
          "type": "CDM"
        },
        {
          "code": "34705",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 45882,
          "discounted_cash": 29823.3,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 28997.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 40238.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 29456.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 29456.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 29456.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 35053.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 29869.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 37623.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 37623.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 25235.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 25235.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 25235.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 45882,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 45882,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 45882,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 25235.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 37623.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 25235.1
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 38999.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 45882,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 12525.79
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 38999.7
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 38999.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 29456.24
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 33493.86
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 38999.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 28997.42
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 38036.18
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 38036.18
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 33493.86
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 38999.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 29456.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 29456.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 45882,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 45882,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 29869.18
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 33493.86
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 37623.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 28997.42
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 38999.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 29456.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 45882,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 45882,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 37118.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 29869.18
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 33493.86
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 38999.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 29456.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 45882,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 45882,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 40238.51
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 40376.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 28997.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 35053.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 45882,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 29869.18
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 45882,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 35053.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 45882,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 45882,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 29869.18
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 33493.86
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 38999.7
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 38999.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 28997.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 28997.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 37623.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 37623.24
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 38999.7
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 34411.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 28997.42
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 38999.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 29456.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 45882,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 30282.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 35053.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 45882,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 45882,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 45882,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 33493.86
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 25235.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 28997.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 37623.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 25235.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 29456.24
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 37118.54
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 45882,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 38999.7
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 29823.3
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 34411.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 35053.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 35053.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 45882,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 45882,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 45882,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 37623.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 29456.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 29456.24
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 34411.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 38036.18
            }
          ]
        }
      ]
    },
    {
      "description": "HC Removal Impacted Cerumen",
      "code_information": [
        {
          "code": "PX-45000025",
          "type": "CDM"
        },
        {
          "code": "69210",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1295,
          "discounted_cash": 841.75,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 947.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 953.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 843.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1047.66
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1100.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 953.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 989.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 813.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 843.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1135.72
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 712.25
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1295,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1295,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 945.35
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.5,
              "estimated_amount": 951.83
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 841.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 953.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 813.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 813.26
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1295
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1295,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 971.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1061.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 712.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 712.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 712.25
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1100.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 953.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 840.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 989.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 813.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 843.05
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1100.75
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1295,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 971.25
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1073.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1061.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 712.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 813.26
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 854.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 989.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 989.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 953.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 813.26
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.5,
              "estimated_amount": 951.83
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1100.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 947.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1135.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 947.94
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1100.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 953.12
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1100.75
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1100.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 989.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 953.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 813.26
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1100.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 947.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1061.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1061.9
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1073.56
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1073.56
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 971.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 947.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 947.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 840.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 813.26
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1139.6
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1100.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 813.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 843.05
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 353.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 953.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 843.05
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 945.35
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1100.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1061.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 953.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 953.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 813.26
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 945.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 953.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 989.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 840.46
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.5,
              "estimated_amount": 951.83
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1100.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 947.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1061.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 947.94
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1295,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 953.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 813.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1047.66
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1100.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 813.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 840.46
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 945.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1061.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 712.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 813.26
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 945.35
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 945.35
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.5,
              "estimated_amount": 951.83
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1061.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 712.25
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 283.61
            }
          ]
        }
      ]
    },
    {
      "description": "HC Endoven Ablat Incompetent Ext Vein W Img Addl Vein",
      "code_information": [
        {
          "code": "PX-36100908",
          "type": "CDM"
        },
        {
          "code": "36483",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 3761,
          "discounted_cash": 2444.65,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2376.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2068.55
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3117.87
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2448.41
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2745.53
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3196.85
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2745.53
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2745.53
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3761,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2376.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2376.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3084.02
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3117.87
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3196.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2414.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2414.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3761,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2745.53
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3196.85
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1026.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2820.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2414.56
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3196.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2376.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2376.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3084.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3761,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3761,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2448.41
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2820.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3761,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2448.41
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3761,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3196.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3298.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2376.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3084.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3298.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2873.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3761,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3761,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2745.53
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 2444.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3761,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3761,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3761,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3196.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3084.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2376.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3084.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3084.02
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2068.55
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3196.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2448.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2448.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2414.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3761,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3761,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3761,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2068.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2414.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2414.56
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3196.85
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2745.53
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3761,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3196.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2873.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2873.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3761,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3761,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3196.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2068.55
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3117.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2414.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2414.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2873.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3761,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3761,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3042.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3042.65
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 2482.26
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3196.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2414.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2873.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2414.56
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2068.55
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 3309.68
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3196.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2376.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3084.02
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2068.55
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2820.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2414.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3761,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3761,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2873.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2414.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3761,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2068.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3084.02
            }
          ]
        }
      ]
    },
    {
      "description": "HC ER Level II",
      "code_information": [
        {
          "code": "PX-45000032",
          "type": "CDM"
        },
        {
          "code": "99282",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1058,
          "discounted_cash": 687.7,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 774.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 867.56
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 142.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 149.88,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 149.88,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 931.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 778.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 778.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "case rate",
              "standard_charge_dollar": 1263,
              "estimated_amount": 1263
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 855.92
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 142.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.5,
              "estimated_amount": 777.63
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.5,
              "estimated_amount": 777.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 774.46
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 581.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 867.56
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 142.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 778.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 778.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 808.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "case rate",
              "standard_charge_dollar": 1221,
              "estimated_amount": 1221
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 793.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 808.31
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 772.34
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 899.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 774.46
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 142.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 231.7
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1058,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "case rate",
              "standard_charge_dollar": 1221,
              "estimated_amount": 1221
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 855.92
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1058
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 778.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "case rate",
              "standard_charge_dollar": 1221,
              "estimated_amount": 1221
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "case rate",
              "standard_charge_dollar": 1221,
              "estimated_amount": 1221
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 772.34
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 899.3
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 698.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 867.56
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 144.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1058,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 774.46
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 877.08
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 899.3
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 899.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "case rate",
              "standard_charge_dollar": 1221,
              "estimated_amount": 1221
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 899.3
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 793.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 778.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 808.31
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 142.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 774.46
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 581.9
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 877.08
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1058,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 793.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 774.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 867.56
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 581.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 144.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 899.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 778.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 778.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 778.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "case rate",
              "standard_charge_dollar": 1263,
              "estimated_amount": 1263
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "case rate",
              "standard_charge_dollar": 1221,
              "estimated_amount": 1221
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 688.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 688.76
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 772.34
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.5,
              "estimated_amount": 777.63
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 899.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 778.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "case rate",
              "standard_charge_dollar": 1263,
              "estimated_amount": 1263
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "case rate",
              "standard_charge_dollar": 1221,
              "estimated_amount": 1221
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "case rate",
              "standard_charge_dollar": 1221,
              "estimated_amount": 1221
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 688.76
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 772.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 774.46
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 144.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 144.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 867.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 808.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "case rate",
              "standard_charge_dollar": 1263,
              "estimated_amount": 1263
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.5,
              "estimated_amount": 777.63
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 899.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 808.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "case rate",
              "standard_charge_dollar": 1221,
              "estimated_amount": 1221
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "case rate",
              "standard_charge_dollar": 1221,
              "estimated_amount": 1221
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 688.76
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 899.3
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 687.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 774.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 867.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 867.56
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 581.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 581.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 927.87
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 581.9
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 142.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 149.88,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 899.3
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 772.34
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 142.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "case rate",
              "standard_charge_dollar": 75,
              "estimated_amount": 75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "case rate",
              "standard_charge_dollar": 1221,
              "estimated_amount": 1221
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 772.34
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 142.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 927.87
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 867.56
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 877.08
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 581.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 778.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "case rate",
              "standard_charge_dollar": 1221,
              "estimated_amount": 1221
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 688.76
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 288.83
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 899.3
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 899.3
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 142.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "case rate",
              "standard_charge_dollar": 75,
              "estimated_amount": 75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 808.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "case rate",
              "standard_charge_dollar": 1221,
              "estimated_amount": 1221
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 142.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 142.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 142.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 144.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 778.69
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 149.88,
              "additional_payer_notes": "OPPS APC"
            }
          ],
          "minimum": 75,
          "maximum": 1263
        }
      ]
    },
    {
      "description": "Hydrophilic Powder Multidex 45 Gr Tube",
      "code_information": [
        {
          "code": "PX-CH-DN46-701-1",
          "type": "CDM"
        },
        {
          "code": "A6262",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 27.51,
          "discounted_cash": 17.88,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 17.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 17.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 17.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 27.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 20.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 22.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 17.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 21.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 27.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 20.08
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 23.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 17.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 21.02
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 18.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 22.56
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 15.13
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 23.38
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 23.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 27.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 27.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 27.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 27.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 22.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 22.26
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 20.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 21.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 27.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 27.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 17.91
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 23.38
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 23.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 22.56
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 15.13
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 23.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 17.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 17.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 27.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 27.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 20.08
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 20.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 27.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 27.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 17.88
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 23.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 17.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 24.13
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 22.81
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 24.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 21.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 17.66
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 20.08
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 23.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 17.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 17.91
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 17.91
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 27.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 17.39
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 15.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 17.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 17.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 24.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 17.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 22.56
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 15.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 21.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 27.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 20.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 27.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 15.27
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 22.56
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 15.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 17.39
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 17.91
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 7.51
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 20.63
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 23.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 17.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 17.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 27.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 15.27
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 22.56
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 23.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 27.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 27.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 15.27
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 23.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 17.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 17.66
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 15.27
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 22.56
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 15.13
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 15.13
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 22.81
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 22.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 17.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 21.02
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 17.91
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 23.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 22.56
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 20.63
            }
          ]
        }
      ]
    },
    {
      "description": "Strapping Hand or Finger",
      "code_information": [
        {
          "code": "PX-45000173",
          "type": "CDM"
        },
        {
          "code": "29280",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1186,
          "discounted_cash": 770.9,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 749.55
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 983.19
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 983.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 761.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1186,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 772.09
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 770.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 761.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 761.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 761.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1186,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 772.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 772.09
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1008.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 749.55
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1008.1
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1008.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1186,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1186,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1186,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 906.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 906.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1186,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 959.47
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 865.78
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1043.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 906.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 761.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 761.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1186,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 865.78
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1008.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 761.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 761.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1186,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 865.78
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 865.78
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 983.19
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1008.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 772.09
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1008.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 772.09
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 865.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 972.52
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 652.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 972.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1186,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1186,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 749.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 749.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 972.52
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 972.52
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 972.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1186,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 959.47
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 658.23
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1008.1
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1008.1
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 782.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 761.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 906.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 906.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 761.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1186,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1040.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 972.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 749.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 749.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 749.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 652.3
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 889.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 906.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1186,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1186,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 658.23
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1008.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 761.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 761.41
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1008.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 652.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 652.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1040.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 972.52
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 652.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 652.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1186,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1186,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1186,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 658.23
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 889.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 865.78
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1186
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 972.52
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1008.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 658.23
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 323.78
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 889.5
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1008.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 749.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 652.3
            }
          ]
        }
      ]
    },
    {
      "description": "HC Laryngscpy Indirect Diagnos",
      "code_information": [
        {
          "code": "PX-45000191",
          "type": "CDM"
        },
        {
          "code": "31505",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 825,
          "discounted_cash": 536.25,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 603.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 603.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 603.9
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 683.93
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 726
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 607.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 607.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 825,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 537.08
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 602.25
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 701.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 825,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 701.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 676.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 453.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 603.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 603.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 453.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 607.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 607.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 630.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 825,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 825,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 825,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 667.43
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 701.25
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 701.25
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 544.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 453.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 723.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 603.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 676.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 607.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 607.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 630.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 667.43
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 602.25
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 602.25
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 618.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 630.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 825,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 676.5
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 701.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 607.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 825,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 537.08
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.5,
              "estimated_amount": 606.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 630.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 825,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 701.25
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 701.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 603.9
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.5,
              "estimated_amount": 606.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 607.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 825,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 825,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 537.08
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 536.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 453.75
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 683.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 537.08
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 602.25
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 602.25
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 225.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 607.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 825,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 825,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 676.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 723.53
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 676.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 676.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 453.75
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 701.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 825,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 825,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.5,
              "estimated_amount": 606.38
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.5,
              "estimated_amount": 606.38
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 825
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 701.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 630.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 607.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 825,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 825,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 701.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 676.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 453.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 676.5
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 701.25
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 618.75
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 602.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 630.3
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 701.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 453.75
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 683.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 607.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 607.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 825,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 537.08
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 618.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 603.9
            }
          ]
        }
      ]
    },
    {
      "description": "HC Control Oropharyngeal Hemor",
      "code_information": [
        {
          "code": "PX-45000213",
          "type": "CDM"
        },
        {
          "code": "42960",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1277,
          "discounted_cash": 830.05,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 934.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 934.76
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1085.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 975.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1277,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1085.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 939.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 939.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1277,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1033.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1033.09
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 932.21
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.5,
              "estimated_amount": 938.6
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1085.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 702.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1277,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 957.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 975.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1277,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1277,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.5,
              "estimated_amount": 938.6
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1085.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1119.93
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 702.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 702.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 939.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 939.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 939.87
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 932.21
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 348.62
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 842.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 939.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 939.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1277,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 932.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1119.93
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1047.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1047.14
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1058.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 939.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1277,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1277,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1277,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 831.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 934.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1047.14
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 702.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 702.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 939.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 939.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1277,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1277,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 831.33
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.5,
              "estimated_amount": 938.6
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1085.45
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1085.45
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1085.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1277,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 831.33
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 932.21
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.5,
              "estimated_amount": 938.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 934.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 975.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1277,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 831.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 975.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 939.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1277,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 957.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 934.76
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1058.63
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1085.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1047.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1277,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 831.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 975.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1277,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 932.21
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 932.21
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1277
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 830.05
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1085.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 934.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1047.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1047.14
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 702.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 934.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1047.14
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1058.63
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1085.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 939.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 975.63
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1085.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1047.14
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1123.76
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1085.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1277,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 934.76
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 702.35
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 957.75
            }
          ]
        }
      ]
    },
    {
      "description": "2 Pc Ctf Std Wear Up to 3 1/2 in New Image",
      "code_information": [
        {
          "code": "PX-CH-HO14206",
          "type": "CDM"
        },
        {
          "code": "A4415",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 4.76,
          "discounted_cash": 3.09,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.64
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.76,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.76,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.76,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.62
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4.17
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.76,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.76,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.9
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 4.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.64
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.64
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.76,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.76,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3.95
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.57
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.76,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.76,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.47
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.57
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.1
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.47
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.64
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1.3
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 3.09
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.9
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.62
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.76,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3.85
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.64
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 3.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.62
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.76,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.76,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.06
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.47
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 4.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.9
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.64
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.64
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.05
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.76,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.62
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.06
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.76,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.76,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.76,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3.85
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.47
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.76,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.05
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4.17
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.05
            }
          ]
        }
      ]
    },
    {
      "description": "Foley Insert Tray 30 Cc Syringe Cardinal",
      "code_information": [
        {
          "code": "PX-CH-ZRCIT30CCBZN",
          "type": "CDM"
        },
        {
          "code": "A4310",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2.91,
          "discounted_cash": 1.89,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.84
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.47
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.47
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2.91,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.39
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2.41
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.22
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.12
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.62
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2.91,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.89
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.47
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.47
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.39
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.79
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.39
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.39
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2.35
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2.91
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 2.56
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.47
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.22
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.12
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.12
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.62
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.39
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.62
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.39
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2.35
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.12
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.47
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.39
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.62
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.91,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.12
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.12
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.47
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.89
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2.41
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2.41
            }
          ]
        }
      ]
    },
    {
      "description": "HC Program Device Eval Single Defib",
      "code_information": [
        {
          "code": "PX-48000010",
          "type": "CDM"
        },
        {
          "code": "93282",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 244,
          "discounted_cash": 158.6,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 154.21
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 200.08
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 134.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 33.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 32.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 156.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 186.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 156.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 156.65
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 207.4
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 207.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 154.21
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 200.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 200.08
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 134.2
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 32.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 200.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 200.08
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 134.2
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 244,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 244,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 178.12
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 32.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 66.61
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 183
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 207.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 156.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 244,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 178.12
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 183
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 154.21
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 134.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 33.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 32.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 186.42
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 135.42
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 207.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 244,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 244,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 244,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 207.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 154.21
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 34.56,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 33.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 244,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 244,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 178.12
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 135.42
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 244,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 186.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 156.65
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 207.4
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 158.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 154.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 213.99
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 202.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 154.21
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 207.4
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 244,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 207.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 156.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 156.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 244,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 158.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 156.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 156.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 244,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 158.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 158.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 200.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 200.08
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 32.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 32.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 33.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 32.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 244,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 244,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 244,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 244,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 178.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 156.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 186.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 186.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 244,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 197.4
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 178.12
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 134.2
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 34.56,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 207.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 154.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 154.21
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 200.08
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 134.2
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 207.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 156.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 244,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 244,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 207.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 244
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 207.4
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 207.4
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 161.04
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 34.56,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 33.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 183
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 134.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 202.28
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 32.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 178.12
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 135.42
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 244,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 156.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 244,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 244,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 158.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 158.84
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 32.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 207.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 213.99
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 244,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 214.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 186.42
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 197.4
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 32.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 135.42
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 202.28
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 34.56,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Ablation Distinct From Primary",
      "code_information": [
        {
          "code": "PX-48000044",
          "type": "CDM"
        },
        {
          "code": "93655",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 6466,
          "discounted_cash": 4202.9,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4086.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5302.12
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6466,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6466,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6466,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3588.63
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5496.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4151.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6466,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 5360.31
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6466,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6466,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5496.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 5670.68
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 6466,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6466,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4151.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4940.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4151.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4151.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6466,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4209.37
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3588.63
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5496.1
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5496.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6466,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6466,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4720.18
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1765.22
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 6466,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3556.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5302.12
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6466,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4151.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4940.02
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4849.5
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5496.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4940.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6466,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6466,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5496.1
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 4202.9
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 5360.31
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 6466,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4086.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4086.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4086.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4151.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4151.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4151.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6466,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 5230.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4151.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4151.17
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4209.37
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 6466
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3556.3
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6466,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6466,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 1416.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4086.51
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3556.3
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5496.1
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 5690.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4151.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6466,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6466,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 4267.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 5230.99
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4720.18
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3588.63
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5496.1
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5496.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6466,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 5360.31
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6466,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4849.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4720.18
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3588.63
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 6466,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4849.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6466,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4209.37
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6466,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5302.12
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3556.3
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6466,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5496.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4086.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5302.12
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3556.3
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6466,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6466,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4720.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4940.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4151.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4940.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6466,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4720.18
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5496.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5302.12
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3556.3
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6466,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4086.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5302.12
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3556.3
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6466,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6466,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 6466,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6466,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6466,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4720.18
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6466,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6466,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6466,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5496.1
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5496.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4086.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5302.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5302.12
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 6466,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4940.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 6466,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4209.37
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4209.37
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 5670.68
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5496.1
            }
          ]
        }
      ]
    },
    {
      "description": "HC Ptca Sgl Maj Cor Art or Branch",
      "code_information": [
        {
          "code": "PX-48100001",
          "type": "CDM"
        },
        {
          "code": "92920",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 7237,
          "discounted_cash": 4704.05,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4573.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4573.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5934.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4988.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4646.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4646.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 5529.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4646.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 5529.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7237,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 5427.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4573.78
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3980.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5934.34
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3980.35
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6151.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 5529.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4646.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7237,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7237,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4711.29
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6151.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7237,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6151.45
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 7237,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 7237,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5934.34
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3980.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5038.44,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 5999.47
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5237.98,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5237.98,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 7237,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4573.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5934.34
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3980.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7237,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7237,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5283.01
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "estimated_amount": 7237
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7237,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7237,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4711.29
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4883.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6151.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5934.34
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4988.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6151.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7237,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5283.01
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6151.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4646.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 5529.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7237,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6151.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4573.78
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5038.44,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4988.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4573.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 6346.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 6346.85
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5237.98,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4646.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7237,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4711.29
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4883.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6151.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7237,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7237,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7237,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5283.01
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5283.01
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5283.01
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5934.34
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4988.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 5999.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7237,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5038.44,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6151.45
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6151.45
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6151.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 5529.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7237,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 5854.73
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5934.34
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3980.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5038.44,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 7237,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5038.44,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5237.98,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 6368.56
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6151.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4646.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 5529.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4646.15
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4883.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "estimated_amount": 7237
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 4776.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4646.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4646.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4711.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 4711.29
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5283.01
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "estimated_amount": 7237
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "estimated_amount": 7237
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4988.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4988.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4573.78
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 5999.47
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4988.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 1584.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 7237,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 5854.73
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "estimated_amount": 7237
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6151.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4646.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 4646.15
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 4704.05
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 5427.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 4573.78
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3980.35
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 7237,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 5427.75
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1975.7
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6151.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 5934.34
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3980.35
            }
          ]
        }
      ]
    },
    {
      "description": "HC Percutaneous Balloon Valvoplasty Mitral",
      "code_information": [
        {
          "code": "PX-48100014",
          "type": "CDM"
        },
        {
          "code": "92987",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 15950,
          "discounted_cash": 10367.5,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10080.4
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9601.65,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 8852.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 8852.25
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 15950,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12185.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15950,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15950,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15950,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10383.45
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9601.65,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13557.5
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 10367.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9601.65,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9601.65,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 13988.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8772.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9697.66,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13557.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10239.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10239.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10239.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15950,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11643.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11643.5
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9601.65,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13557.5
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13557.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15950,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10080.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13079
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 10081.73,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 10081.73,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10080.4
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 3493.05
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13557.5
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13557.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10239.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12185.8
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9601.65,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13557.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8772.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 13222.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10080.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8772.5
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 14036
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12185.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15950,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11643.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10383.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13079
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9697.66,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8772.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8772.5
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9601.65,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 15950,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15950,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15950,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15950,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 12903.55
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11643.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13079
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13079
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9601.65,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9601.65,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9697.66,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 15950,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 11962.5
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13557.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 13988.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13079
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 13222.55
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 15950,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 8852.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10383.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10383.45
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11643.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 15950
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 11962.5
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 11962.5
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 10527
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13079
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10239.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10239.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10239.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12185.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10383.45
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13557.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13557.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15950,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 12903.55
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11643.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 8852.25
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13557.5
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 4354.35
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13557.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10080.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13079
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 10081.73,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13557.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10080.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10080.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 10080.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8772.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 13222.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10239.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10239.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12185.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15950,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15950,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15950,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10239.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12185.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10239.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15950,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15950,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8772.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9697.66,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9601.65,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13557.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 10239.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15950,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15950,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13079
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 10081.73,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 15950,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 9697.66,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Left Heart Cath",
      "code_information": [
        {
          "code": "PX-48100018",
          "type": "CDM"
        },
        {
          "code": "93452",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 9096,
          "discounted_cash": 5912.4,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5748.67
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5748.67
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7458.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5839.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9096,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9096,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5921.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9096,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6949.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5839.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9096,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5921.5
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7731.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5748.67
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7458.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5748.67
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7458.72
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5002.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5002.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5002.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9096,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7731.6
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 6822
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5839.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9096,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 7540.58
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7731.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5839.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9096,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9096,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9096,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5921.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7731.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5002.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 7977.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5748.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6949.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6949.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9096,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9096,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6640.08
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6640.08
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9096,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7731.6
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 5912.4
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 6003.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6949.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5839.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7458.72
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 6822
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 7977.19
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7731.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5839.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9096,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9096,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 7358.66
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7731.6
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 6822
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9096,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 2483.21
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7458.72
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7731.6
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 8004.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5748.67
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5748.67
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7458.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5839.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6949.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9096,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 7358.66
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9096,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7731.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6949.34
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6640.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5748.67
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5002.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5002.8
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 7540.58
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 7540.58
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7731.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5839.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9096,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9096,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5921.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6640.08
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9096,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5839.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5839.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5839.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9096,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6640.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7458.72
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5002.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5839.63
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5921.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 6640.08
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7731.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 9096,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 7731.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 7458.72
            }
          ]
        }
      ]
    },
    {
      "description": "HC Echo Tee Congen Cardiac Anomaly Comp",
      "code_information": [
        {
          "code": "PX-48300008",
          "type": "CDM"
        },
        {
          "code": "93315",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2399,
          "discounted_cash": 1559.35,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2103.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1516.17
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1319.45
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1988.77
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2039.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1540.16
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2039.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1832.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1540.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1540.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1540.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1561.75
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1751.27
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2039.15
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1988.77
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 1559.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1540.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2399,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2399,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2399,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2399,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1561.75
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2039.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1516.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1516.17
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1967.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1967.18
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 2111.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1540.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2399,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2399,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2039.15
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1331.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1331.45
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2039.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1967.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1967.18
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1799.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1832.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2399,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1561.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1561.75
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1751.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1540.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2399,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2399,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2039.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1967.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1516.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1516.17
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1319.45
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2039.15
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2039.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1540.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2399,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2399,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1561.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2399
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1583.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1540.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1832.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1967.18
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1319.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2103.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1516.17
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1319.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2399,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1940.79
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1940.79
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1751.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1832.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1540.16
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 654.93
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1967.18
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1319.45
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2039.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1319.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1832.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1540.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2399,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1331.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2399,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2399,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2399,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1751.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1516.17
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1988.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1516.17
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1967.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1540.16
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1751.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1832.84
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1751.27
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1331.45
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2039.15
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1799.25
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1799.25
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2039.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1319.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2399,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Echo Doppler Limited Add On",
      "code_information": [
        {
          "code": "PX-48300010",
          "type": "CDM"
        },
        {
          "code": "93321",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 299,
          "discounted_cash": 194.35,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 188.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 262.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 262.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 191.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 191.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 299,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 194.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 194.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 241.89
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 165.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 191.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 228.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 299,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 254.15
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 299,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 299,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 245.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 245.18
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 299,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 188.97
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 245.18
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 164.45
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 299,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 224.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 188.97
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 245.18
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 247.87
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 247.87
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 254.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 191.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 299,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 194.65
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 218.27
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 218.27
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 218.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 191.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 191.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 299,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 299,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 299,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 224.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 188.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 188.97
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 245.18
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 164.45
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 299,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 164.45
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 299,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 299,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 228.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 228.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 299,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 218.27
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 165.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 191.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 191.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 299,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 299,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 299,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 299,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 299,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 299,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 254.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 299,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 194.65
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 254.15
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 254.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 191.96
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 165.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 188.97
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 299,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 299,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 299,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 299,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 254.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 299,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 299,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 228.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 191.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 299,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 299
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 81.63
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 224.25
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 254.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 299,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 299,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 299,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 194.65
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 218.27
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 254.15
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 254.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 188.97
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 164.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 164.45
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 299,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 188.97
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 245.18
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 164.45
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 299,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 263.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 191.96
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 299,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 299,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 254.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 228.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 241.89
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 218.27
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 254.15
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 197.34
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 254.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 245.18
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 299,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 254.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 245.18
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 247.87
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 299,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 191.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 299,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 194.35
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 254.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 228.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 299,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 299,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 299,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 165.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 164.45
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 299,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Irrigation of Impl Ven Access Device",
      "code_information": [
        {
          "code": "PX-51000041",
          "type": "CDM"
        },
        {
          "code": "96523",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 403,
          "discounted_cash": 261.95,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 254.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 254.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 53.92,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 258.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 307.89
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 53.39,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 342.55
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 403,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 342.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 403,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 403,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 294.19
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 223.67
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 342.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 254.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 330.46
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 342.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 254.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 221.65
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 53.39,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 403,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 342.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 258.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 403,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 342.55
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 354.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 330.46
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 334.09
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 53.39,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 53.92,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 258.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 294.19
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 223.67
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 302.25
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 342.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 403,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 403,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 403,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 53.39,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 403,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 342.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 221.65
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 403,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 307.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 403,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 262.35
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 53.39,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 342.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 258.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 258.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 403,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 262.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 353.43
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 330.46
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 53.39,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 403,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 330.46
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 221.65
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 56.06,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 403,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 342.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 258.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 258.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 307.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 403,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 403,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 262.35
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 342.55
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 261.95
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 302.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 307.89
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 342.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 53.92,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 334.09
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 330.46
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 53.92,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 56.06,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 307.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 258.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 307.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 258.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 403,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 53.39,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 56.06,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 294.19
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 53.39,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 403,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 294.19
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 223.67
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 254.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 330.46
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 221.65
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 221.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 53.92,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 302.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 254.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 258.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 403,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 403,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 294.19
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 223.67
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 403
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 221.65
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 334.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 353.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 254.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 254.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 330.46
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 56.06,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 258.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 403,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 262.35
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 265.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 258.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 403,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 403,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 262.35
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 326.03
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 342.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 330.46
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 221.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 326.03
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 294.19
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 110.02
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 342.55
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 53.39,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 53.39,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "HC MRI Breast Unilat W and WO Contrast",
      "code_information": [
        {
          "code": "PX-61400032",
          "type": "CDM"
        },
        {
          "code": "77048",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2281,
          "discounted_cash": 1482.65,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 1669.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2000.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1254.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1678.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1678.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2281,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1665.13
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1938.85
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1938.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1678.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2281,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1484.93
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1665.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 1669.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2000.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1254.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1870.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1870.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1678.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2281,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2281,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.5,
              "estimated_amount": 1676.54
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1505.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1678.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1742.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2281,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2281,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1665.13
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.5,
              "estimated_amount": 1676.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1870.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1254.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1254.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 1669.69
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1870.42
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1665.13
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1938.85
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1710.75
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1938.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1678.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1742.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2281,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2281,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1484.93
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 1482.65
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1254.55
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1938.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1742.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2281,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1710.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1742.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2281,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2281,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 622.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 1669.69
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1870.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2281,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1845.33
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1938.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1938.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1678.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1678.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1678.82
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1484.93
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1665.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 1669.69
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1890.95
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1938.85
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1938.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1870.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1678.82
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1665.13
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.5,
              "estimated_amount": 1676.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1678.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2281,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1845.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 1669.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 1669.69
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1890.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1742.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2281,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1484.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1484.93
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1938.85
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1938.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 1669.69
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1254.55
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1890.95
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1938.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1870.42
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 2007.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1678.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2281,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.5,
              "estimated_amount": 1676.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1742.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2281,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2281,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2281
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1870.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1254.55
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1710.75
            }
          ]
        }
      ]
    },
    {
      "description": "HC Mra Neck W Contrast",
      "code_information": [
        {
          "code": "PX-61500005",
          "type": "CDM"
        },
        {
          "code": "70548",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1450,
          "discounted_cash": 942.5,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 1061.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 797.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 335.65,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 335.65,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1232.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1067.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1107.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1450,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1058.5
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1087.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1067.2
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1058.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1271.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1189
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1189
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1067.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1107.8
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1232.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1107.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1107.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 943.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 1061.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1189
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1450,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 1061.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 339.01,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 352.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1067.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1067.2
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1058.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1058.5
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1232.5
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1232.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1067.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1107.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1450,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 943.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1173.05
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1058.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.5,
              "estimated_amount": 1065.75
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1232.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 1061.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1067.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1450,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 957
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1232.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1232.5
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1450,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1189
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 797.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 339.01,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1202.05
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 335.65,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1189
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 335.65,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1202.05
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 335.65,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1087.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1067.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1067.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1450,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1450,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1232.5
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1232.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1067.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1450,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1232.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1271.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 1061.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1189
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1067.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1450,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1450,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1450,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1450,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1450,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 943.95
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 335.65,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 335.65,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1232.5
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 395.85
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1450,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 1061.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 1061.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1189
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 339.01,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 352.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1232.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 1061.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 339.01,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 317.55
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 339.01,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1276
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1450,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1067.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1450,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.5,
              "estimated_amount": 1065.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1107.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1450,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1450,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1173.05
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1058.5
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 335.65,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 942.5
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 335.65,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 797.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 797.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1450,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1450,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 943.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1450,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1450,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 943.95
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1450
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1087.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1202.05
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 352.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 335.65,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1232.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.5,
              "estimated_amount": 1065.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.5,
              "estimated_amount": 1065.75
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1232.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1189
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 797.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 797.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 797.5
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 352.43,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Mra Pelvis WO Contrast",
      "code_information": [
        {
          "code": "PX-61800010",
          "type": "CDM"
        },
        {
          "code": "72198",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1872,
          "discounted_cash": 1216.8,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 1370.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1430.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1377.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1377.79
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.5,
              "estimated_amount": 1375.92
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1591.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1872,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1872,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1218.67
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 213.87,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1404
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 1370.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 1370.3
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 213.87,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 216,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 224.56,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1872,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 240.64,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 252.67,
              "additional_payer_notes": "PHYSICIAN FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1366.56
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1591.2
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1872,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1235.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1872,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1872,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1872,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1366.56
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 511.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1535.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1029.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 216,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1551.89
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1551.89
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1029.6
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1872,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1430.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1377.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1872,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1872,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 1370.3
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1551.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1641.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 1370.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1377.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1377.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1872,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1872,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.5,
              "estimated_amount": 1375.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1872,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1872,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1591.2
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1872,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1535.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1029.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1029.6
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 224.56,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 409.97
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1591.2
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 213.87,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1647.36
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1591.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1377.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1377.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1872,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.5,
              "estimated_amount": 1375.92
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.5,
              "estimated_amount": 1375.92
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1591.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1377.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1872,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1872,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1872
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 213.87,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1404
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 1370.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1535.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1029.6
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 213.87,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1404
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1591.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 1370.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1377.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1872,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1872,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1218.67
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1218.67
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1514.45
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1591.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1218.67
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1218.67
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1591.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1641.74
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1535.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1535.04
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 216,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 240.64,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 252.67,
              "additional_payer_notes": "PHYSICIAN FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1514.45
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1366.56
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1591.2
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1591.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1535.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1029.6
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 213.87,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 213.87,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1029.6
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 216,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1377.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1430.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1430.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1430.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1872,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1366.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 213.87,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 1216.8
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1591.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1377.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 1377.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1430.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1872,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1366.56
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1366.56
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1591.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 1370.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1535.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1535.04
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 216,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 213.87,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 213.87,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1591.2
            }
          ],
          "minimum": 240.64,
          "maximum": 240.64
        }
      ]
    },
    {
      "description": "HC Eeg Monitor 41-60 Minutes",
      "code_information": [
        {
          "code": "PX-74000001",
          "type": "CDM"
        },
        {
          "code": "95812",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1815,
          "discounted_cash": 1179.75,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1147.08
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 276.69,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 276.69,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1815,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1181.57
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 268.16,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1386.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1165.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1815,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1815,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1542.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1147.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1147.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1488.3
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 268.16,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1504.64
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 268.16,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 281.57,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1542.75
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1542.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1147.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1147.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1488.3
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 268.16,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1504.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1815,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1324.95
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 268.16,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1542.75
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1542.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1147.08
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 268.16,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1147.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1181.57
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 268.16,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1386.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1815,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1815,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1815,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1815,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1181.57
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 495.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1542.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1488.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 998.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 998.25
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 276.69,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1488.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1815,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 1179.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1165.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1815,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1324.95
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1324.95
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1815,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 268.16,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 397.49
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1815,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1542.75
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1361.25
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1597.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1386.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1165.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1386.66
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1197.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1815,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1468.34
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1007.33
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1542.75
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1542.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 998.25
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1542.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 276.69,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1165.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1165.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1815,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1007.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1165.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1165.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1165.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1815,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1324.95
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1815
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1007.33
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1542.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1591.76
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 276.69,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 281.57,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1815,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 998.25
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 268.16,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1165.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1815,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1324.95
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1361.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1815,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1815,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1181.57
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1007.33
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1542.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1488.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1488.3
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 268.16,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 281.57,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1815,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1386.66
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1815,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1542.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1165.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1165.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1165.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1815,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1468.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1181.57
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1324.95
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1361.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1147.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1488.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1488.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 998.25
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1504.64
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 281.57,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1386.66
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1542.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1591.76
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 998.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 998.25
            }
          ]
        }
      ]
    },
    {
      "description": "HC Eeg Cerebral Death",
      "code_information": [
        {
          "code": "PX-74000006",
          "type": "CDM"
        },
        {
          "code": "95824",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 3467,
          "discounted_cash": 2253.55,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2191.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2191.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2842.94
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2946.95
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2946.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2648.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2648.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2225.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2257.02
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2530.91
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 946.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2225.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2225.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2225.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2257.02
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1924.19
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1906.85
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2874.14
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1906.85
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 3050.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2225.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3467,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2804.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2648.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3467,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1924.19
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2946.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2191.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2191.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2842.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3467,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2530.91
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2946.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2946.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3467,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3467,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2600.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3040.56
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1906.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2191.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2842.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2225.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3467,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3467,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3467,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2257.02
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 2253.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2225.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3467,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2191.14
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2874.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2842.94
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2530.91
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2946.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2946.95
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 2288.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3467,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3467,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2257.02
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2257.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3040.56
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1906.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2191.14
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1906.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1906.85
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2874.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2225.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3467,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2600.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2225.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2648.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2648.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3467,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3467,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2842.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2225.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3467,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1924.19
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1924.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2225.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2804.8
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2946.95
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2946.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2842.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2842.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2191.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2842.94
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2946.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2225.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3467,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2600.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2648.79
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2530.91
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2946.95
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2946.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3467,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2530.91
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2530.91
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 3467
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1906.85
            }
          ]
        }
      ]
    },
    {
      "description": "HC Esophagoscopy W Band Ligation",
      "code_information": [
        {
          "code": "PX-75000005",
          "type": "CDM"
        },
        {
          "code": "43205",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 4411,
          "discounted_cash": 2867.15,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2787.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3617.02
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3749.35
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3749.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2831.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66.2,
              "estimated_amount": 4411
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3568.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3220.03
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3749.35
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3749.35
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3749.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2787.75
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3749.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2787.75
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3656.72
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3749.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3370
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 4411
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66.2,
              "estimated_amount": 4411
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2871.56
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3220.03
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3220.03
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3749.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2831.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 4411
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2787.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3617.02
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2426.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2787.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2787.75
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3656.72
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3308.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 4411
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66.2,
              "estimated_amount": 4411
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 4411
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2871.56
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3220.03
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4411,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1204.2
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3308.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2831.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2831.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3370
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2831.86
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3220.03
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4411,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3749.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3617.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3617.02
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3749.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3868.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2426.05
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 3881.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2831.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2831.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 4411
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66.2,
              "estimated_amount": 4411
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 4411
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3370
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 4411
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 4411
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2871.56
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 2867.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2426.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3617.02
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3656.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 4411
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3220.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2831.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2831.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3370
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 4411
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3568.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2787.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2871.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4411,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3617.02
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2426.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3617.02
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2426.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3370
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2831.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 4411
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4411,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4411,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2831.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 4411
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3749.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3868.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2426.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2871.56
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3308.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3370
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2831.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2787.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3617.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 4411
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3749.35
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 2911.26
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2426.05
            }
          ]
        }
      ]
    },
    {
      "description": "HC Small Intestine Endoscopy W Control Bleeding",
      "code_information": [
        {
          "code": "PX-75000052",
          "type": "CDM"
        },
        {
          "code": "44366",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 5565,
          "discounted_cash": 3617.25,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3517.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3517.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4563.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4502.09
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5565,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 3617.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3572.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66.2,
              "estimated_amount": 3684.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66.2,
              "estimated_amount": 3684.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 3556.04
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4502.09
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3060.75
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4613.39
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5565,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3572.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 3556.04
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3622.82
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4730.25
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4730.25
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4062.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3060.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4251.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4251.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 3556.04
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5565,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1519.25
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4730.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3572.73
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4173.75
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4730.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3060.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3572.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3572.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4251.66
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4062.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5565,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4730.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3572.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 3556.04
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4062.45
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4613.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3517.08
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4730.25
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4730.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4251.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 3556.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 3556.04
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4730.25
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5565,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4251.66
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4062.45
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4730.25
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4173.75
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4730.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3517.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3517.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4563.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4563.3
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4730.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4563.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4563.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3060.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3572.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4251.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 3556.04
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3622.82
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3622.82
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5565,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4173.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 3556.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 3556.04
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4062.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3517.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4880.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4563.3
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5565,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66.2,
              "estimated_amount": 3684.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 3556.04
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3622.82
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 3672.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3572.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3572.73
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3622.82
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4730.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4563.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4563.3
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 1218.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4880.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3572.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 3556.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66.2,
              "estimated_amount": 3684.03
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5565,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5565,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 3556.04
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4730.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3517.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3517.08
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3060.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3060.75
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4613.39
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 4897.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3572.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3572.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 3556.04
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4062.45
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4730.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3060.75
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5565,
              "additional_payer_notes": "OUTPATIENT"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Sigmoidoscopy W Polypectomy",
      "code_information": [
        {
          "code": "PX-75000085",
          "type": "CDM"
        },
        {
          "code": "45333",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 5350,
          "discounted_cash": 3477.5,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3381.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2942.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4435.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3434.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3434.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 3418.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66.2,
              "estimated_amount": 3541.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66.2,
              "estimated_amount": 3541.7
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4547.5
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4547.5
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4547.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3434.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3434.7
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5350,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5350,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4547.5
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5350,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4387
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3381.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3381.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4387
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4387
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 4708
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4087.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3434.7
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3905.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3434.7
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1460.55
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4547.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3381.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2942.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2942.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4435.15
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4012.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3381.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4387
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4387
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2942.5
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5350,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4087.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 3418.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66.2,
              "estimated_amount": 3541.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 3418.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 3418.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 3418.65
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3905.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5350,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4087.4
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 3477.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4387
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 3418.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 3418.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4328.15
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4547.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3434.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4087.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 3418.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4691.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4387
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2942.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3434.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 3418.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66.2,
              "estimated_amount": 3541.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3482.85
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3482.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4547.5
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4012.5
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 3531
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2942.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3434.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3434.7
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5350,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4547.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3905.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3905.5
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5350,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3434.7
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4547.5
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4547.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3381.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2942.5
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5350,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3381.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4387
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4547.5
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4547.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4087.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 3418.65
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5350,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4547.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3482.85
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3905.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5350,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4012.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 3418.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4328.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3482.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3434.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 3418.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 3418.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3482.85
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3905.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3381.2
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4547.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4087.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4691.95
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4435.15
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 1171.65
            }
          ]
        }
      ]
    },
    {
      "description": "HC Admin Influenza Vaccine",
      "code_information": [
        {
          "code": "PX-77100003",
          "type": "CDM"
        },
        {
          "code": "G0008",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 50,
          "discounted_cash": 32.5,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 31.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 41
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 42.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 27.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 50,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 50,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 40.45
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 37.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 27.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 41.46,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 41.87,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 50,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 32.1
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 36.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 27.75
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 42.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 32.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 32.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 32.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 50,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 50,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 36.5
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 41.46,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 37.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 41
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 27.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 41.45
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 44
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 42.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 41.46,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 41.46,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 32.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 32.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 32.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 32.55
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 50,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 38.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 50,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 43.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 31.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 41
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 41.87,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 38.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 38.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 50,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 50,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 36.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 42.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 42.5
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 32.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 41
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 27.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 27.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 41.87,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 41.46,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 42.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 31.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 43.85
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 41.45
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 41.45
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 41.46,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 50,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 38.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 32.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 50
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 27.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 38.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 38.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 32.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 50,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 50,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 42.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 31.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 31.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 27.5
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 43.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 31.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 27.5
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 42.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 40.45
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 36.5
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 41.46,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 13.65
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 42.5
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 32.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 32.55
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 42.5
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 42.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 31.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 41
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 41.87,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 50,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 50,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 50,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 32.55
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 27.75
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 50,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 32.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 32.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 50,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 50,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 32.55
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 41.46,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 41.46,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 50,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 50,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 50,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 36.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 42.5
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 42.5
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 42.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 32.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 50,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 43.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 27.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 41.46,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 50,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 37.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 36.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 31.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 41
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 41.87,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 43.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 43.53,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Psychotherapy W Pt 45 Min",
      "code_information": [
        {
          "code": "PX-91400003",
          "type": "CDM"
        },
        {
          "code": "90834",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 502,
          "discounted_cash": 326.3,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 317.26
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 140.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 416.16
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 136.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 322.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 502,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 426.7
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 426.7
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 426.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 383.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 502,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 326.3
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 136.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 140.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 376.5
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 143.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 322.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 502,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 278.61
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 426.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 322.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 326.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 278.61
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 140.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 426.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 317.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 317.26
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 276.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 140.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 136.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 416.16
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 416.16
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 143.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 322.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 383.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 322.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 406.12
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 502,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 502,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 136.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 317.26
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 276.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 276.1
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 426.7
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 441.76
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 502,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 322.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 502,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 406.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 326.8
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 136.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 426.7
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 376.5
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 426.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 326.8
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 137.05
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 136.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 136.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 502,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 366.46
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 136.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 426.7
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 331.32
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 366.46
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 366.46
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 366.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 411.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 411.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 411.64
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 136.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 136.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 502,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 317.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 440.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 440.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 411.64
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 276.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 322.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 502,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 502,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 366.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 383.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 322.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 502,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 502,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 317.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 411.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 411.64
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 143.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 426.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 317.26
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 426.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 322.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 383.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 502,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 278.61
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 502,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 322.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 383.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 502,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 326.8
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 426.7
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 426.7
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 426.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 317.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 411.64
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 143.02,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 502,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 322.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 322.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 502,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 502,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 502,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 326.8
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 366.46
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 278.61
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 502
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 376.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 411.64
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 276.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 276.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 140.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 502,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 383.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 502,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 502,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 276.1
            }
          ]
        }
      ]
    },
    {
      "description": "HC Family Psychotherapy WO Pt 50 Min",
      "code_information": [
        {
          "code": "PX-91600001",
          "type": "CDM"
        },
        {
          "code": "90846",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 560,
          "discounted_cash": 364,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 353.92
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 560,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 560,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 310.8
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 139.15,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 369.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 427.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 359.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 560,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 364.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 364.56
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 476
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 476
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 420
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 420
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 364
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 476
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 476
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 459.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 308
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 459.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 308
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 476
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 560,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 560,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 560,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 408.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 560,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 560
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 139.15,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 353.92
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 459.2
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 139.15,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 139.15,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 139.15,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 146.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 560,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 560,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 476
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 476
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 427.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 359.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 560,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 359.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 359.52
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 310.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 353.92
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 140.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 140.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 139.15,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 560,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 353.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 491.12
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 146.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 427.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 560,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 560,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 139.15,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 560,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 560,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 560,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 491.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 459.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 459.2
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 420
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 353.92
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 459.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 464.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 359.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 359.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 560,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 364.56
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 408.8
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 476
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 560,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 359.52
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 476
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 353.92
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 459.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 308
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 146.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 427.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 359.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 453.04
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 476
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 359.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 427.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 560,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 560,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 408.8
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 408.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 310.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 353.92
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 459.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 353.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 308
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 140.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 139.15,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 359.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 359.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 560,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 560,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 408.8
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 476
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 308
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 308
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 140.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 146.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 140.55,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 359.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 560,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 476
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 464.24
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 476
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 427.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 364.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 453.04
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 364.56
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 408.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 310.8
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 152.88
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 476
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 308
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 464.24
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 139.15,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 139.15,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 492.8
            }
          ]
        }
      ]
    },
    {
      "description": "HC Visual Evoked Potential Except Glaucoma",
      "code_information": [
        {
          "code": "PX-92200017",
          "type": "CDM"
        },
        {
          "code": "95930",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 989,
          "discounted_cash": 642.85,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 625.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 543.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 634.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 989,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 989,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 840.65
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 840.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 755.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 548.9
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 270
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 741.75
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 840.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 625.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 276.69,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 625.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 810.98
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 273.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 800.1
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 840.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 634.94
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 276.69,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 287.65,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 810.98
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 543.95
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 819.88
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 840.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 755.6
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 721.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 634.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 989,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 625.05
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 273.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 989,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 625.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 625.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 867.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 276.69,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 273.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 287.65,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 634.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 989,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 989,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 989,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 643.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 643.84
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 721.97
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 548.9
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 840.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 755.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 634.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 634.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 810.98
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 543.95
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 273.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 273.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 543.95
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 819.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 643.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 643.84
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 548.9
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 273.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 840.65
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 652.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 634.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 755.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 989,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 989,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 989,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 721.97
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 273.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 810.98
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 287.65,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 810.98
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 810.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 989,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 287.65,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 989,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 989,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 800.1
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 721.97
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 840.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 634.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 634.94
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 721.97
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 840.65
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 989,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 810.98
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 273.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 840.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 625.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 276.69,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 276.69,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 989,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 989,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 642.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 634.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 634.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 989,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 840.65
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 989,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 870.32
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 741.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 810.98
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 273.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 840.65
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 840.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 634.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 643.84
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 273.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 548.9
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 989
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 840.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 755.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 755.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 989,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 721.97
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 741.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 543.95
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 989,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 989,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 989,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 989,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 625.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 867.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 543.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 543.95
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 819.88
            }
          ]
        }
      ]
    },
    {
      "description": "HC Smoke Tobacco Counseling 3-10 Min",
      "code_information": [
        {
          "code": "PX-94200017",
          "type": "CDM"
        },
        {
          "code": "99406",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 35,
          "discounted_cash": 22.75,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 30.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 22.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 28.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 25.29,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 29.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 25.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 22.47
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 22.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 22.12
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 25.29,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 25.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 29.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 22.12
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19.25
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 29.02
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 25.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 22.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 26.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 26.74
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 28.32
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 24.51,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 19.43
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 29.75
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 24.51,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 35,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 22.12
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 35,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 35,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 35,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 26.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 22.79
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 25.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 35
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 22.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19.25
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 29.75
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 24.51,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 25.55
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 29.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 19.43
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 29.75
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 9.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 22.12
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 24.51,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 29.75
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 24.51,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 25.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 22.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 22.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 29.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 26.25
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 29.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 22.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 19.43
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 23.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 28.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 28.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 24.51,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 22.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 22.79
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 19.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 22.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 22.79
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 28.32
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 25.55
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 24.51,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 24.51,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 29.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 30.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 22.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 28.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19.25
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 29.02
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 25.74,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 26.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 26.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 22.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 29.75
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 29.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 26.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 26.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 22.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 28.7
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 30.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 22.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 28.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 25.29,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 29.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 22.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 26.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 22.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 35,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 22.47
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 25.55
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 25.55
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 29.75
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 29.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 24.51,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 24.51,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 22.47
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 35,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 22.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 28.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 28.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 25.29,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 25.29,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Train Therapy Diab Ind Session 30 M",
      "code_information": [
        {
          "code": "PX-94200019",
          "type": "CDM"
        },
        {
          "code": "G0108",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 90,
          "discounted_cash": 58.5,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 56.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 56.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 56.88
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 52.26,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 52.78,
              "additional_payer_notes": "PHYSICIAN FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 52.26,
              "estimated_amount": 52.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 57.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 90,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 52.26,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 52.26,
              "additional_payer_notes": "PHYSICIAN FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 68.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 57.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 90,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 65.7
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 76.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 74.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 56.88
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 49.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 52.26,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 52.78,
              "additional_payer_notes": "PHYSICIAN FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 52.26,
              "estimated_amount": 52.26
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 52.26,
              "estimated_amount": 52.26
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 76.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 57.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 90,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 72.81
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 65.7
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 65.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 57.78
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 52.26,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 52.26,
              "additional_payer_notes": "PHYSICIAN FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 49.95
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 76.5
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 76.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 49.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 74.61
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 65.7
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 49.95
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 67.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 58.59
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 76.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 76.5
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 76.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 73.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 52.26,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 52.78,
              "additional_payer_notes": "PHYSICIAN FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 90,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 52.26,
              "estimated_amount": 52.26
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 67.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 57.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 68.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 57.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 68.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 90,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 58.59
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 72.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 58.59
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 59.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 78.93
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 49.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 52.26,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 52.78,
              "additional_payer_notes": "PHYSICIAN FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 52.26,
              "estimated_amount": 52.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 73.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 73.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 73.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 73.8
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 52.26,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 54.87,
              "additional_payer_notes": "PHYSICIAN FEE SCHEDULE"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 90,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 76.5
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 76.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 90,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 90,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 49.95
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 76.5
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 76.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 68.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 57.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 90,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 58.59
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 76.5
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 90,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 79.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 56.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 57.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 90,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 52.26,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 54.87,
              "additional_payer_notes": "PHYSICIAN FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 90,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 90,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 65.7
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 58.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 90,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 90,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 90,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 65.7
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 90
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 24.57
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 56.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 56.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 56.88
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 49.5
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 52.26,
              "estimated_amount": 52.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 68.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 68.76
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 49.95
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 90,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 78.93
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 49.5
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 52.26,
              "estimated_amount": 52.26
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 76.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 49.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 74.61
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 52.26,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 54.87,
              "additional_payer_notes": "PHYSICIAN FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 52.26,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 52.78,
              "additional_payer_notes": "PHYSICIAN FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 90,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 90,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 76.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 57.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 57.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 90,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 90,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 58.59
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 52.26,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 52.26,
              "additional_payer_notes": "PHYSICIAN FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 73.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 73.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 49.5
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 52.26,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 54.87,
              "additional_payer_notes": "PHYSICIAN FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 57.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 57.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 90,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 90,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 67.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 73.8
            }
          ],
          "minimum": 52.26,
          "maximum": 52.26
        }
      ]
    },
    {
      "description": "Kit Mrsa Plus-Single",
      "code_information": [
        {
          "code": "PX-CH-HP695258",
          "type": "CDM"
        },
        {
          "code": "A4660",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 52.13,
          "discounted_cash": 33.88,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 32.95
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 43.22
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 44.31
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 38.05
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 14.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 42.75
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 44.31
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 42.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 28.67
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 44.31
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 45.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 33.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 33.47
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 33.94
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 44.31
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 44.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 33.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 33.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 33.47
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 33.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 32.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 42.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 42.17
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 33.94
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 38.05
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 38.05
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 28.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 32.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 32.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 28.67
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 28.67
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 28.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 39.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 33.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 33.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 52.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 52.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 28.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 45.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 52.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 52.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 42.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 39.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 39.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 52.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 33.94
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 38.05
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 52.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 32.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 42.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 42.75
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 44.31
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 42.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 28.67
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 28.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 33.47
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 44.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 39.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 33.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 39.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 52.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 52.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 52.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 52.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 39.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 32.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 42.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 42.75
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 44.31
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 43.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 52.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 44.31
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 44.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 52.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 44.31
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 44.31
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 39.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 32.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 45.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 32.95
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 39.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 33.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 52.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 52.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 38.05
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 28.93
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 33.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 33.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 33.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 52.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 52.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 38.05
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 28.93
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 34.41
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 28.67
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 43.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 39.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 52.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 52.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 33.94
            }
          ]
        }
      ]
    },
    {
      "description": "Powder Fordustin Body 8 Oz",
      "code_information": [
        {
          "code": "PX-CH-SW0505",
          "type": "CDM"
        },
        {
          "code": "A9270",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 5.23,
          "discounted_cash": 3.4,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.82
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.31
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.88
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 4.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.4
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1.43
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5.23,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.29
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.31
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4.23
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.82
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.45
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.45
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.92
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 3.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.29
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.34
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.31
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.4
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.82
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.4
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.36
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.36
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.82
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.82
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4.59
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.29
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.88
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.31
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.88
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.36
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.9
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.9
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.29
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.29
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.36
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.31
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.34
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5.23,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.31
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.29
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.92
            }
          ]
        }
      ]
    },
    {
      "description": "Packing Strips With Iodoform 1/2 in X 5 Yds Curity",
      "code_information": [
        {
          "code": "PX-CH-KN7832",
          "type": "CDM"
        },
        {
          "code": "A6266",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 5.86,
          "discounted_cash": 3.81,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.81
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.86,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.86,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.81
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.28
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 5.86
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.98
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.86,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.86,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.81
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.81
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.86,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.7
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.86,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.86,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4.74
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.25
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.86,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.86,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.98
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.86
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.86,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.86,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.22
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.22
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.22
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.86,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.86
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4.74
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.28
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.86,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.98
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.81
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.86
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.86,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 5.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.81
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.86,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.98
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.86,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.86,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.81
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.28
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5.86,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.22
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.22
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.86,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.86,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.86,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.86,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.86,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.81
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.86,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.86,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5.86,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 3.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.86,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.81
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.86,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.86,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.28
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.98
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.28
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.98
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.98
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.86,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.86,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.98
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.86,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.86,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.86,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.81
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 5.16
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.81
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.86,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.86,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.86,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.25
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.86,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.81
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.81
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.48
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.86,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 5.14
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.86,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Grafix Core 3 X 4 per Sq Cm",
      "code_information": [
        {
          "code": "PX-63600052",
          "type": "CDM"
        },
        {
          "code": "Q4132",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 343,
          "discounted_cash": 222.95,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 216.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 216.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 281.26
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 188.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 343,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 343,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 291.55
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 343,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 220.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 343,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 343,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 343,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 250.39
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 190.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 262.05
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 222.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 300.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 216.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 281.26
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 188.65
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 343,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 216.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 216.78
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 343,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 343,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 343,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 262.05
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 223.29
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 291.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 220.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 343,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 216.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 216.78
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 284.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 343,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 223.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 223.29
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 291.55
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 291.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 223.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 216.78
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 343,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 301.84
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 188.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 343,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 343,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 343,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 250.39
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 190.37
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 291.55
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 291.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 343,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 277.49
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 190.37
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 343,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 291.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 188.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 343,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 281.26
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 281.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 220.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 262.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 220.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 343,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 250.39
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 257.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 220.21
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 223.29
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 257.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 281.26
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 343,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 291.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 220.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 343,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 343,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 277.49
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 190.37
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 343,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 226.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 220.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 262.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 220.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 343,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 343,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 291.55
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 343,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 291.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 281.26
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 343,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 343,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 343,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 257.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 220.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 220.21
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 250.39
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 291.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 262.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 343,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 250.39
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 250.39
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 343
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 93.64
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 343,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 281.26
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 188.65
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 284.35
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 291.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 300.81
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 188.65
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 343,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 343,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 262.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 220.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 343,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 291.55
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 343,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 281.26
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 284.35
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 343,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 343,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 220.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 343,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 343,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 343,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 291.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 188.65
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 343,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Ot Vasopneumatic Treatment",
      "code_information": [
        {
          "code": "PX-43000014",
          "type": "CDM"
        },
        {
          "code": "97016",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 125,
          "discounted_cash": 81.25,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 79
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 68.75
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 125,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 125,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 11.19
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 69.38
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 93.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 80.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 80.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 125,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 125,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 125,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 93.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 79
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 11.19
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 106.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 11.19
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 106.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 80.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 95.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 125,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 81.38
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 91.25
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 11.19
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 106.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 95.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 80.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 81.38
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 106.25
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 125,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 82.5
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 106.25
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 11.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 79
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 11.19
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 103.63
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 103.63
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 11.19
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 106.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 80.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 95.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 80.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 125,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 125,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 91.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 109.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 102.5
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 11.19
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 11.19
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 11.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 109.63
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 103.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 80.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 125,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 125,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 91.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 69.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 125,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 125,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 125,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 125,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 91.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 102.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 102.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 68.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 68.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 11.19
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 11.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 102.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 80.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 81.38
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 106.25
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 81.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 81.38
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 125
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 69.38
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 106.25
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 106.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 102.5
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 106.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 95.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 80.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 80.25
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 110
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 91.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 101.13
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 11.19
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 106.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 102.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 68.75
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 11.19
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 11.19
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 93.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 102.5
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 18.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 125,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 125,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 101.13
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 91.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 95.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 69.38
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 106.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 102.5
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 11.19
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 125,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 11.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 79
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 68.75
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 11.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 80.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 125,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 106.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 95.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 125,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 81.38
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 34.13
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 106.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 79
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 68.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 68.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 80.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 125,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 125,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 125,
              "additional_payer_notes": "OUTPATIENT"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Ot Performance Test 15 Min",
      "code_information": [
        {
          "code": "PX-43000037",
          "type": "CDM"
        },
        {
          "code": "97750",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 159,
          "discounted_cash": 103.35,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 100.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 100.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 100.49
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 130.38
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 32.31
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 32.31
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 33.93
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 159,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 159,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 103.51
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 116.07
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 116.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 102.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 103.51
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 116.07
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 135.15
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 159,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 130.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 87.45
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 131.81
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 119.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 100.49
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 87.45
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 139.92
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 135.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 121.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 159,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 135.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 102.08
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 135.15
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 119.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 130.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 87.45
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 32.31
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 87.45
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 32.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 159,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 159,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 159,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 128.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 102.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 159,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 88.25
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 43.41
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 135.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 139.44
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 32.31
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 32.31
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 130.38
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 32.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 102.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 102.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 102.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 102.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 121.48
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 88.25
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 104.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 128.63
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 32.31
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 135.15
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 159,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 130.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 87.45
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 135.15
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 135.15
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 116.07
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 116.07
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 88.25
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 32.31
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 159,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 102.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 121.48
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 116.07
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 159
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 103.35
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 32.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 100.49
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 87.45
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 32.31
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 135.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 159,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 159,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 135.15
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 135.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 159,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 159,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 119.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 139.44
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 32.31
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 32.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 100.49
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 130.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 87.45
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 131.81
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 32.31
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 32.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 102.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 102.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 102.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 121.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 159,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 159,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 103.51
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 135.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 159,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 131.81
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 159,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 159,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 130.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 121.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 102.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 121.48
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 135.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 159,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 159,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 103.51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 103.51
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 32.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 100.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 100.49
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 32.31
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 32.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 159,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 159,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 88.25
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 135.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 130.38
            }
          ]
        }
      ]
    },
    {
      "description": "HC Affinity Biohead",
      "code_information": [
        {
          "code": "PX-27200355",
          "type": "CDM"
        },
        {
          "code": "27200355",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 631,
          "discounted_cash": 410.15,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 398.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 398.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 405.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 396.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 409.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 409.52
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 172.26
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 410.15
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 416.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 405.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 405.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 396.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 482.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 410.78
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 350.21
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 536.35
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 536.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 405.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 409.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 396.27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 410.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 398.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 405.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 396.27
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 460.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 517.42
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 523.1
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 536.35
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 523.1
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 536.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 405.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 396.27
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 460.63
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 536.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 405.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 482.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 396.27
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 460.63
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 536.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 398.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 398.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 517.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 517.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 347.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 347.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 517.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 517.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 347.05
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 536.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 405.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 510.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 410.78
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 631
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 350.21
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 536.35
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 536.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 396.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 409.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 410.78
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 536.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 398.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 517.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 347.05
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 523.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 396.27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 410.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 405.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 405.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 482.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 553.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 517.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 347.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 347.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 398.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 405.1
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 460.63
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 473.25
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 473.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 396.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 396.27
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 460.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 553.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 517.42
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 473.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 347.05
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 555.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 482.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 396.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 482.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 405.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 482.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 396.27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 510.48
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 350.21
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 536.35
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 536.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 396.27
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 460.63
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 350.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 398.79
            }
          ]
        }
      ]
    },
    {
      "description": "HC Cannula Axillary Aortic",
      "code_information": [
        {
          "code": "PX-27200378",
          "type": "CDM"
        },
        {
          "code": "27200378",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 146,
          "discounted_cash": 94.9,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 92.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 128.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 80.3
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 124.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 111.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 111.54
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 94.9
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 124.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 111.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 119.72
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 80.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 128.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 119.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 91.69
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 95.05
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 124.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 93.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 93.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 111.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 91.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 91.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 91.69
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 106.58
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 80.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 119.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 93.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 111.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 93.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 91.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 94.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 95.05
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 106.58
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 39.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 93.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 94.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 91.69
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 118.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 95.05
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 106.58
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 106.58
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 96.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 93.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 94.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 81.03
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 81.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 92.27
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 119.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 119.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 119.72
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 121.03
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 124.1
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 124.1
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 128.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 93.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 91.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 91.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 92.27
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 119.72
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 80.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 93.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 93.73
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 124.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 91.69
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 95.05
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 124.1
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 109.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 106.58
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 81.03
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 124.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 80.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 119.72
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 80.3
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 121.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 93.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 93.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 94.75
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 124.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 91.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 91.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 91.69
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 106.58
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 124.1
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 124.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 92.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 92.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 92.27
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 121.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 91.69
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 81.03
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 124.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 118.11
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 146
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 109.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 92.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 92.27
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 80.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 111.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 93.73
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 95.05
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 109.5
            }
          ]
        }
      ]
    },
    {
      "description": "HC Pt Tx Cpt 15 Min",
      "code_information": [
        {
          "code": "PX-42000125",
          "type": "CDM"
        },
        {
          "code": "42000125",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 21,
          "discounted_cash": 13.65,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 18.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 17.22
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.55
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 17.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 13.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 13.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 16.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 13.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 13.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 13.67
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 11.66
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 5.73
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 13.27
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.55
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 18.48
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 13.63
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 16.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 13.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 13.67
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.85
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 15.75
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 13.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 16.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 16.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 16.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 13.19
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 15.75
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 13.86
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 13.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 13.67
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 13.67
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 16.99
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 15.33
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 11.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 13.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 13.27
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 13.19
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.85
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 13.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 13.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 13.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 13.19
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 15.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 18.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 13.63
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.85
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 15.33
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.55
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 17.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 17.22
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 13.63
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 15.33
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 16.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 13.19
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 15.33
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 17.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 13.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 13.27
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 17.22
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 17.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.48
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 11.66
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 13.19
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 13.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 13.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 13.27
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 17.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 17.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 16.04
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 15.33
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 11.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.48
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 17.41
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.85
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 15.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 13.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 17.22
            }
          ]
        }
      ]
    },
    {
      "description": "Ide G130007 Pro1140762 Brk",
      "code_information": [
        {
          "code": "PX-62400089",
          "type": "CDM"
        },
        {
          "code": "C1725",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1,
          "discounted_cash": 0.65,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by percent of billed.",
              "estimated_amount": 1,
              "additional_payer_notes": "OUTPATIENT EXCLUSIONS"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.66
            }
          ]
        }
      ]
    },
    {
      "description": "HC Heart Valve 6",
      "code_information": [
        {
          "code": "PX-27800152",
          "type": "CDM"
        },
        {
          "code": "27800152",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 4514,
          "discounted_cash": 2934.1,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 2956.67
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3701.48
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2482.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3448.7
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3295.22
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 4514
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 2934.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 2893.47
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2938.61
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3295.22
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3836.9
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3385.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 2956.67
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3701.48
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3701.48
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3836.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 2956.67
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3701.48
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2482.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2482.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 2893.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3448.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 2884.45
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3836.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 2884.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2938.61
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3295.22
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3295.22
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2505.27
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3836.9
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3836.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3958.78
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3385.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3701.48
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3701.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 2893.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3448.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 2893.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 2753.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 2893.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3448.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2938.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3651.83
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3651.83
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1232.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3701.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 2956.67
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3958.78
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2482.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2482.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 2753.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 2753.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 2753.54
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3836.9
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3836.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 2956.67
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 2956.67
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 2956.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 2893.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 2753.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 2753.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2938.61
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3295.22
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2505.27
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3385.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 2893.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 2893.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 2753.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2938.61
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2505.27
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3742.11
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3836.9
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2505.27
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 2979.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 2956.67
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3701.48
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3742.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3448.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 2893.47
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3836.9
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3836.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3448.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 2893.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 2893.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 2884.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 2753.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 2753.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 2753.54
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2482.7
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3742.11
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 3972.32
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3836.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 2753.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 2753.54
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 2884.45
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3295.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 2753.54
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2482.7
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3836.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 2893.47
            }
          ]
        }
      ]
    },
    {
      "description": "HC Heart Valve 10",
      "code_information": [
        {
          "code": "PX-27800156",
          "type": "CDM"
        },
        {
          "code": "27800156",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 7738,
          "discounted_cash": 5029.7,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 5068.39
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6577.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 5911.83
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6577.3
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6577.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5037.44
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6577.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6345.16
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 6414.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 5068.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6345.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 4960.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 4944.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 6260.04
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 2112.47
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 5803.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 4960.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 4960.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 5911.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 4720.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 4944.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 4720.18
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5648.74
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4294.59
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6345.16
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6577.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 5068.39
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4255.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 4720.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 4720.18
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5037.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5037.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 5911.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 4720.18
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6577.3
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6577.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 5068.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 5068.39
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 6414.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4255.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 4960.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 5911.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 4960.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 4944.58
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4294.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 5911.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 4720.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 4720.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 5068.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6345.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6345.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4255.9
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 6809.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4255.9
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 5803.5
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6577.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 4960.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 4960.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 4960.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 4960.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5037.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 4720.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 4720.18
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6577.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 5068.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6345.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6345.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6345.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 6260.04
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 7738
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 4720.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 4720.18
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5648.74
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4294.59
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6577.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4255.9
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6577.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 4960.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 4960.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 4720.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 4944.58
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 5029.7
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5648.74
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 5107.08
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4255.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4255.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 5911.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 4720.18
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 5803.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 4960.06
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5648.74
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5648.74
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6577.3
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 6414.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5037.44
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5648.74
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4294.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 6786.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 5068.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 6786.23
            }
          ]
        }
      ]
    },
    {
      "description": "HC Heart Valve 17",
      "code_information": [
        {
          "code": "PX-27800163",
          "type": "CDM"
        },
        {
          "code": "27800163",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 16764,
          "discounted_cash": 10896.6,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 14702.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 10980.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9220.2
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 14752.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 10745.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12807.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 10712.2
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12237.72
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 10896.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12807.7
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 9304.02
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 13897.36
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13746.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 10745.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 10226.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 10226.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 10712.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 10226.04
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10913.36
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10913.36
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14249.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 10745.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 10712.2
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14249.4
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 12573
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 12573
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 11064.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 10980.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9220.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9220.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9220.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12807.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 10745.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 10745.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12807.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10913.36
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 9304.02
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14249.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 10226.04
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 13562.08
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 13897.36
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13746.48
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13746.48
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 12573
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14249.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12807.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 10745.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 10226.04
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 9304.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 10226.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13746.48
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13746.48
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9220.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 10980.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 14702.03
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14249.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 10226.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 10226.04
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10913.36
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 13562.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 12807.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 10226.04
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 4576.57
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14249.4
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14249.4
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 13897.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 10980.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 10745.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 10226.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 10226.04
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10913.36
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14249.4
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14249.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 10226.04
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12237.72
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 10980.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13746.48
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14249.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9220.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 10745.72
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12237.72
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12237.72
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12237.72
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14249.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 10980.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 10980.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 10980.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13746.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 10745.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 10745.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 10226.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 10745.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 10745.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 10712.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 9304.02
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 16764
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 13746.48
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 9220.2
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 12237.72
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 14249.4
            }
          ]
        }
      ]
    },
    {
      "description": "HC Renal Transcath Sympath Denerv Bil",
      "code_information": [
        {
          "code": "PX-32300021",
          "type": "CDM"
        },
        {
          "code": "0339T",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 29303,
          "discounted_cash": 19046.95,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 18519.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 18812.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 22387.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 29303,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 29303,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 22387.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 18812.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 19076.25
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 21977.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 18519.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 16116.65
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 24907.55
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 24292.19
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 24907.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 18812.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 22387.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 29303,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 29303,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 29303,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 24907.55
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 24907.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 18812.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 23706.13
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 21391.19
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 25786.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 18519.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 24028.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 24028.46
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 24907.55
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 23706.13
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 24907.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 18812.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 22387.49
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 19076.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 24028.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 18519.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 24028.46
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 16116.65
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 21977.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 22387.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 29303,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 29303,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 29303,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 29303,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 29303,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 19339.98
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 24028.46
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 16116.65
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 16116.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 29303,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 19046.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 22387.49
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 24907.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 25698.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 18519.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 25698.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 18519.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 18812.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 18812.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 29303,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 19076.25
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 21391.19
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 21391.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 18812.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 18812.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 29303,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 7999.72
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 24907.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 24028.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 24028.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 24028.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 18812.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 29303,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 21391.19
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 24907.55
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 24907.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 18812.53
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 21391.19
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 16116.65
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 24907.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 29303,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 29303,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 29303,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 29303,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 29303,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 24907.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 18812.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 29303,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 19076.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 19076.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 29303,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 29303,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 21977.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 18519.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 18519.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 16116.65
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 16116.65
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 24292.19
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 21391.19
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 24292.19
            }
          ]
        }
      ]
    },
    {
      "description": "HC Img Guide Fluid Coll Drng by Cath Soft Tissue Perc",
      "code_information": [
        {
          "code": "PX-36100717",
          "type": "CDM"
        },
        {
          "code": "10030",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1631,
          "discounted_cash": 1060.15,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1430.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1030.79
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 620.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 631.14,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1047.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1047.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1246.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1061.78
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1190.63
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 445.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1047.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "estimated_amount": 1631
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1386.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1030.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1030.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1030.79
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 601.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1061.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1047.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1047.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "estimated_amount": 1631
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1631,
              "additional_payer_notes": " ASC LISTED"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1030.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1337.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1337.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1337.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 897.05
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1386.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1030.79
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 601.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1435.28
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1386.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1047.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1047.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1631,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1631,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1631,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1190.63
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1223.25
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 1060.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1337.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1337.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 897.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 897.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 620.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 631.14,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1631,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 614.07,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "estimated_amount": 1631
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1223.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1631,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1319.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1319.48
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 631.14,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 897.05
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 601.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 601.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1246.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1246.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1631,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1631,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1631,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1631,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1631,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1061.78
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1190.63
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 614.07,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1386.35
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1386.35
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1386.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1047.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1631,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1631,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1061.78
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1386.35
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1386.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1430.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1337.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 897.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1030.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1337.42
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1352.1
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1352.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1047.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1061.78
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1190.63
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "estimated_amount": 1631
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1631,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1631,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1076.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1337.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 897.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 620.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 620.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1631,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1386.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 620.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 631.14,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1246.08
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1386.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1246.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1047.1
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1190.63
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 614.07,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1030.79
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 601.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "estimated_amount": 140
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1223.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 601.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1631,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1047.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1631,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1190.63
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "estimated_amount": 1631
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1246.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1631,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1386.35
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1631,
              "additional_payer_notes": " ASC LISTED"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1386.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 897.05
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1631,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1047.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1631,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1386.35
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1352.1
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 601.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1386.35
            }
          ]
        }
      ]
    },
    {
      "description": "HC Bx Breast W Device US Guidance Addl Les",
      "code_information": [
        {
          "code": "PX-36100721",
          "type": "CDM"
        },
        {
          "code": "19084",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1584,
          "discounted_cash": 1029.6,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1001.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1001.09
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1298.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1016.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1584,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1016.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1016.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1031.18
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1584,
              "additional_payer_notes": " ASC LISTED"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1584,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1584,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1346.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1001.09
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 871.2
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1584,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1313.14
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1584,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1584,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1584,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1346.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1210.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1016.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1584,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1031.18
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1584,
              "additional_payer_notes": " ASC LISTED"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1016.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1016.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1210.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1210.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1584,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1584,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1156.32
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1156.32
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1156.32
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1584,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1298.88
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1584,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 871.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1584,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "estimated_amount": 224
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1188
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1210.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1584,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1584,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1346.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1210.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1584,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1584,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1346.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1298.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1298.88
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 871.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1584,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 871.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1313.14
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1156.32
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1346.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1016.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1210.18
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1584,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 432.43
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1001.09
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 871.2
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1346.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 871.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1584,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1584,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1584,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1016.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1031.18
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1584,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1346.4
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1346.4
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1346.4
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 1029.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1016.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1584,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1584,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1156.32
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1188
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1298.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1298.88
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1584,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1016.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1016.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1584,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1346.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1031.18
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1346.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1001.09
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1298.88
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1298.88
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1584,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1584,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1584,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1584,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1584,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1156.32
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1584,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1188
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1045.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1001.09
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1584,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1584,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1584,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1584,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1584,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1389.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1389.17
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1313.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1016.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1584,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1281.46
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1346.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1584,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1584,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1031.18
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1281.46
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1584,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1346.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1001.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1001.09
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 871.2
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1393.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1584,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1584,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1346.4
            }
          ]
        }
      ]
    },
    {
      "description": "HC St Speech Sound Eval",
      "code_information": [
        {
          "code": "PX-44400015",
          "type": "CDM"
        },
        {
          "code": "92522",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 168,
          "discounted_cash": 109.2,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 106.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 137.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 137.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 137.76
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 92.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 107.26
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 168,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 168,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 168,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 93.24
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 142.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 168,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 168,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 168,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 168,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 135.91
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 122.64
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 168,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 147.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 106.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 137.76
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 139.27
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 107.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 128.35
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 122.64
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 168
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 109.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 128.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 168,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 109.37
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 122.64
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 142.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 137.76
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 92.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 107.26
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 168,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 168,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 93.24
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 142.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 109.37
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 106.18
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 168,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 106.18
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 92.4
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 107.26
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 142.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 107.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 168,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 168,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 93.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 107.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 128.35
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 109.37
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 142.8
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 126
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 168,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 107.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 106.18
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 142.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 107.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 128.35
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 107.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 107.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 107.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 168,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 168,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 107.26
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 142.8
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 45.86
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 142.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 92.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 107.26
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 126
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 139.27
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 107.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 107.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 107.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 128.35
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 107.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 135.91
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 126
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 109.37
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 142.8
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 139.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 106.18
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 92.4
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 112.62
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 147.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 107.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 168,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 168,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 168,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 122.64
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 93.24
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 142.8
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 142.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 107.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 168,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 109.37
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 107.26
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 110.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 106.18
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 107.26
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 142.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 106.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 137.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 137.76
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 107.26
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 107.26
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 91.18
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 168,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 142.8
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 122.64
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 142.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 107.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 128.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 107.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 168,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 122.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 147.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 137.76
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 107.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 107.86
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 92.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 92.4
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 107.26
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 107.26
            }
          ]
        }
      ]
    },
    {
      "description": "HC Low Cost Appl Sg Hhfg to 100 Cm Ea Addl 25 Cm",
      "code_information": [
        {
          "code": "PX-51000085",
          "type": "CDM"
        },
        {
          "code": "C5276",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1006,
          "discounted_cash": 653.9,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 635.79
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 833.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 645.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 645.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1006,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1006,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 734.38
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 855.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 645.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1006,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 855.1
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 653.9
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 663.96
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 855.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 635.79
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 553.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 824.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 645.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1006,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1006,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 654.91
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 553.3
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 833.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 645.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1006,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 654.91
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 734.38
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 754.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 635.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 635.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 824.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 553.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 813.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 645.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 768.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 645.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1006,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1006,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 654.91
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 734.38
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 855.1
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 855.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 882.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 635.79
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 855.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 635.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 824.92
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 855.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 768.58
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1006
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 645.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 645.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 645.85
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 734.38
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 558.33
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 855.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 824.92
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 885.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 635.79
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 855.1
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 734.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 768.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 645.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1006,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 734.38
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 558.33
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 855.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 824.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 553.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 553.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 553.3
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 855.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 635.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 768.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1006,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1006,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1006,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 654.91
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 558.33
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 855.1
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 274.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 768.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 768.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1006,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1006,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 654.91
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 558.33
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 754.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 824.92
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 824.92
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 754.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1006,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1006,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1006,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 813.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 645.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 824.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 553.3
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 833.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 882.26
            }
          ]
        }
      ]
    },
    {
      "description": "Leg Bag Lf Twist Valve 900 Ml Preferred",
      "code_information": [
        {
          "code": "PX-CH-A1-LB900R",
          "type": "CDM"
        },
        {
          "code": "A4358",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 3.09,
          "discounted_cash": 2.01,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.26
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.71
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.71
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3.09,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.63
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.7
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.95
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2.32
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 3.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.26
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.26
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.7
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.71
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.63
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.53
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.53
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.63
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.01
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.36
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.01
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.71
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.53
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.53
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.53
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.53
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.53
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.63
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.26
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.95
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2.56
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.63
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.63
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.7
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.01
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.26
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.26
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3.09,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 2.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.63
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.53
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2.56
            }
          ]
        }
      ]
    },
    {
      "description": "HC Luteinizing Hormone Lh So",
      "code_information": [
        {
          "code": "PX-30101310",
          "type": "CDM"
        },
        {
          "code": "83002",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 330,
          "discounted_cash": 214.5,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 208.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 208.56
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 181.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 181.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 18.52,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 18.71,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 18.52,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 18.71,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 252.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 69.45,
              "estimated_amount": 69.45
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 18.52,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 18.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 214.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 208.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 270.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 18.52,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 18.71,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 18.52,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 19.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.52,
              "estimated_amount": 18.52
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 330,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 211.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 211.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 69.45,
              "estimated_amount": 69.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 69.45,
              "estimated_amount": 69.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 266.97
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 183.15
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 280.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 252.12
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 18.52,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 18.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 280.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 208.56
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 181.5
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.52,
              "estimated_amount": 18.52
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.52,
              "estimated_amount": 18.52
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 330,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 247.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 211.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 252.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 211.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 69.45,
              "estimated_amount": 69.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 214.83
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 280.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 211.86
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 240.9
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 280.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 280.5
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 247.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 289.41
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 27.06,
              "estimated_amount": 27.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 208.56
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 208.56
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 273.57
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 273.57
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 18.52,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 19.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 330,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 211.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 211.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 69.45,
              "estimated_amount": 69.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 69.45,
              "estimated_amount": 69.45
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 18.52,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 18.52,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 280.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 211.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 211.86
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 214.83
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 183.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 181.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 181.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.52,
              "estimated_amount": 18.52
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.52,
              "estimated_amount": 18.52
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 18.52,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 19.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 289.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 270.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 270.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 181.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 211.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 69.45,
              "estimated_amount": 69.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 69.45,
              "estimated_amount": 69.45
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 240.9
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 90.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 69.45,
              "estimated_amount": 69.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 214.83
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 240.9
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 27.06,
              "estimated_amount": 27.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 208.56
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 290.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 270.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 270.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 69.45,
              "estimated_amount": 69.45
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 280.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 69.45,
              "estimated_amount": 69.45
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 240.9
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 183.15
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 247.5
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 214.5
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 280.5
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 280.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 270.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 270.6
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.52,
              "estimated_amount": 18.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 211.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 252.12
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 183.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 211.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 252.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 69.45,
              "estimated_amount": 69.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 69.45,
              "estimated_amount": 69.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 69.45,
              "estimated_amount": 69.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 270.6
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 273.57
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 18.52,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 18.71,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 181.5
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 280.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 252.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 69.45,
              "estimated_amount": 69.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 69.45,
              "estimated_amount": 69.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 214.83
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 240.9
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 280.5
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 27.06,
              "estimated_amount": 27.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 69.45,
              "estimated_amount": 69.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 266.97
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 240.9
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 330
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 280.5
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 217.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 18.52,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 18.71,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.52,
              "estimated_amount": 18.52
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 18.52,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 19.45,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 280.5
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 280.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 208.56
            }
          ],
          "minimum": 18.52,
          "maximum": 69.45
        }
      ]
    },
    {
      "description": "Estradiol; Total Sendout",
      "code_information": [
        {
          "code": "PX-30101311",
          "type": "CDM"
        },
        {
          "code": "82670",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 68,
          "discounted_cash": 44.2,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 42.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 43.66
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 44.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 51.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 51.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 104.78,
              "estimated_amount": 104.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 104.78,
              "estimated_amount": 104.78
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 49.64
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 42.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 42.98
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 55.76
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 27.94,
              "estimated_amount": 27.94
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 27.94,
              "estimated_amount": 27.94
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 55.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 55.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 43.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 43.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 104.78,
              "estimated_amount": 104.78
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 44.27
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 49.64
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 44.27
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 37.74
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 55.76
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 37.4
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 56.37
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 59.64
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 37.4
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 27.94,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 28.22,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 57.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 104.78,
              "estimated_amount": 104.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 104.78,
              "estimated_amount": 104.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 104.78,
              "estimated_amount": 104.78
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 37.74
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 55.76
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 27.94,
              "estimated_amount": 27.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 42.98
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 55.76
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 27.94,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 28.22,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 27.94,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 28.22,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 27.94,
              "estimated_amount": 27.94
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 68,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 57.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 51.95
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 27.94,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 27.94,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 40.83,
              "estimated_amount": 40.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 104.78,
              "estimated_amount": 104.78
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 49.64
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 27.94,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 27.94,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 42.98
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 37.4
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 56.37
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 27.94,
              "estimated_amount": 27.94
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 57.8
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 56.37
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 37.74
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 68
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 27.94,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 27.94,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 57.8
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 57.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 104.78,
              "estimated_amount": 104.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 104.78,
              "estimated_amount": 104.78
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 44.27
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 44.88
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 37.4
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 27.94,
              "estimated_amount": 27.94
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 27.94,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 29.34,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 55.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 43.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 43.66
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 27.94,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 29.34,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 104.78,
              "estimated_amount": 104.78
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 27.94,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 29.34,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 40.83,
              "estimated_amount": 40.83
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 55.01
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 57.8
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 57.8
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 57.8
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 57.8
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 57.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 55.76
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 27.94,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 28.22,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 57.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 59.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 42.98
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 37.4
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 27.94,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 29.34,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 59.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 51.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 43.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 104.78,
              "estimated_amount": 104.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 104.78,
              "estimated_amount": 104.78
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 44.27
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 49.64
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 57.8
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 18.56
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 40.83,
              "estimated_amount": 40.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 43.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 43.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 51.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 104.78,
              "estimated_amount": 104.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 104.78,
              "estimated_amount": 104.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 104.78,
              "estimated_amount": 104.78
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 44.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 37.4
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 68,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 43.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 43.66
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 49.64
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 37.74
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 57.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 43.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 51.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 104.78,
              "estimated_amount": 104.78
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 55.01
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 49.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 42.98
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 27.94,
              "estimated_amount": 27.94
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 68,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 43.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 104.78,
              "estimated_amount": 104.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 42.98
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 37.4
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 27.94,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 28.22,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 57.8
            }
          ],
          "minimum": 27.94,
          "maximum": 104.78
        }
      ]
    },
    {
      "description": "Tubular Drsg Spandagrip Size E Lg Ankles Med Knees Sm Thighs",
      "code_information": [
        {
          "code": "PX-CH-MTSAG35036",
          "type": "CDM"
        },
        {
          "code": "A6457",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 10.46,
          "discounted_cash": 6.8,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.61
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 10.46,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 8.67
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 10.46,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 10.46,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6.81
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6.81
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.89
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 10.46,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.89
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 10.46,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 8.46
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 10.46,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.61
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.75
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 9.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 9.17
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.58
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 10.46,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 5.81
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.72
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 10.46,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.89
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.75
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 8.67
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.61
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.58
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 10.46,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 8.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 5.81
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 10.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7.64
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7.64
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 10.46,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.58
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 10.46,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 10.46,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 10.46,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.61
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 10.46,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7.64
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 2.86
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 7.85
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 7.85
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.99
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6.81
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 10.46,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.61
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.75
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 10.46,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 10.46,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 10.46,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 8.46
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.89
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.58
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 10.46,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 7.85
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6.81
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 5.81
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.89
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 10.46,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7.64
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 5.81
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.89
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.89
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 10.46,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 10.46,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.46,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 10.46,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 6.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 9.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.61
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.58
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.75
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.58
            }
          ]
        }
      ]
    },
    {
      "description": "\"Male External Cath Strap 3/4\"\" W X 4-3/4\"\" Adjustable\"",
      "code_information": [
        {
          "code": "PX-CH-UC6400",
          "type": "CDM"
        },
        {
          "code": "A4335",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 3.43,
          "discounted_cash": 2.23,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.17
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.81
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.89
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.62
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 3.43
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3.43,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.9
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.17
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.17
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3.43,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.2
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.94
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.92
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.17
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.81
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2.77
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.9
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.92
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2.57
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.92
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.17
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.81
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.81
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.17
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 3.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.9
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2.84
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.81
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2.77
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.92
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.92
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.17
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2.84
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2.57
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.81
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.92
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 2.26
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.89
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.89
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2.84
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.89
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.23
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.5
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.2
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.81
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.89
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.43,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.92
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2.57
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.43,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "Cast Padding Specialist 4 In",
      "code_information": [
        {
          "code": "PX-CH-BSN-9044S",
          "type": "CDM"
        },
        {
          "code": "A9270",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 4.43,
          "discounted_cash": 2.88,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3.89
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.63
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 4.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.84
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.23
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.44
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3.67
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.77
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.77
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.44
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3.67
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3.67
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3.58
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.23
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.46
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.46
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.63
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.88
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.88
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.38
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.77
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.77
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.32
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4.43,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.84
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4.43,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.84
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 2.92
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.63
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.88
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.63
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 3.9
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.63
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.77
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.88
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.88
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.8
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 3.24,
          "discounted_cash": 2.11,
          "payers_information": [
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.66
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.78
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.78
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2.62
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.66
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2.69
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.8
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.37
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.66
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.66
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.66
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2.43
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.11
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.37
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3.24,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.66
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.78
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.78
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.78
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.48
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.11
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.88
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.05
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3.24,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2.84
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 3.24
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.11
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.8
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.37
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.37
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2.43
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.66
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.78
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2.69
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.48
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.08
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.37
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2.43
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 2.14
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2.69
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.78
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 2.85
            }
          ]
        }
      ]
    },
    {
      "description": "Catheter External All Silicone Medium 28mm Sport Sheath",
      "code_information": [
        {
          "code": "PX-CH-CO5210",
          "type": "CDM"
        },
        {
          "code": "A4349",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2.43,
          "discounted_cash": 1.58,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 2.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.99
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.77
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.58
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.77
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.34
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.34
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.07
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.07
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.99
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.99
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.86
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.07
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2.43
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.56
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.07
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.77
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2.01
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.77
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.07
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 1.58
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.99
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.99
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.34
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.56
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.77
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.99
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2.01
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.43,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1.97
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.58
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.34
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.34
            }
          ]
        }
      ]
    },
    {
      "description": "HC Albumin So",
      "code_information": [
        {
          "code": "PX-30101364",
          "type": "CDM"
        },
        {
          "code": "82040",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 10,
          "discounted_cash": 6.5,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.32
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.95,
              "estimated_amount": 4.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.56,
              "estimated_amount": 18.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 5.55
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 4.95,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 4.95,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.64
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 8.77
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 4.95,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 5.2,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.56,
              "estimated_amount": 18.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.56,
              "estimated_amount": 18.56
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.56,
              "estimated_amount": 18.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.56,
              "estimated_amount": 18.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 4.95,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 4.95,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.5
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 6.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.5
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.24,
              "estimated_amount": 7.24
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 4.95,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 5.2,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 4.95,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.5
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 8.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.56,
              "estimated_amount": 18.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.56,
              "estimated_amount": 18.56
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.5
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 6.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.32
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 4.95,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.5
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.2
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.95,
              "estimated_amount": 4.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6.51
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 4.95,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 4.95,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 7.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.56,
              "estimated_amount": 18.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6.51
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 5.55
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 8.29
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.95,
              "estimated_amount": 4.95
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.95,
              "estimated_amount": 4.95
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 8.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.42
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6.51
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 10
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.24,
              "estimated_amount": 7.24
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 7.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.42
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6.51
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7.3
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.24,
              "estimated_amount": 7.24
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 4.95,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.42
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 4.95,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 5.2,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6.51
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7.3
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.56,
              "estimated_amount": 18.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.56,
              "estimated_amount": 18.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 4.95,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 10,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 7.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.5
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.95,
              "estimated_amount": 4.95
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 4.95,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 5.2,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 10,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 10,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.56,
              "estimated_amount": 18.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.56,
              "estimated_amount": 18.56
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 5.55
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.56,
              "estimated_amount": 18.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.56,
              "estimated_amount": 18.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.56,
              "estimated_amount": 18.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 8.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 8.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.32
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.95,
              "estimated_amount": 4.95
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.95,
              "estimated_amount": 4.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 8.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.56,
              "estimated_amount": 18.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 8.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.42
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7.3
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 5.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.32
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 4.95,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.56,
              "estimated_amount": 18.56
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 2.73
            }
          ],
          "minimum": 4.95,
          "maximum": 18.56
        }
      ]
    },
    {
      "description": "HC Ena Antibodies Each So",
      "code_information": [
        {
          "code": "PX-30200665",
          "type": "CDM"
        },
        {
          "code": "86235",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 55,
          "discounted_cash": 35.75,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 34.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 45.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 45.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 30.25
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 45.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 35.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 67.24,
              "estimated_amount": 67.24
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 35.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 44.5
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 17.93,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 17.93,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 36.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 42.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 42.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 67.24,
              "estimated_amount": 67.24
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 44.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 17.93,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 18.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 17.93,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 18.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 48.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 45.1
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 46.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 35.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 35.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 67.24,
              "estimated_amount": 67.24
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 30.53
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 46.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 67.24,
              "estimated_amount": 67.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 34.76
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 30.25
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 17.93,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 18.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 55,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 48.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 34.76
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 46.75
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 30.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 42.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 67.24,
              "estimated_amount": 67.24
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 35.81
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 40.15
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 46.75
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 41.25
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 46.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 34.76
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 45.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 45.1
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 45.6
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.93,
              "estimated_amount": 17.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 67.24,
              "estimated_amount": 67.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 67.24,
              "estimated_amount": 67.24
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 40.15
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 17.93,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 17.93,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 35.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 67.24,
              "estimated_amount": 67.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 67.24,
              "estimated_amount": 67.24
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 35.81
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 30.53
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 45.1
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 17.93,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 18.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.93,
              "estimated_amount": 17.93
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.93,
              "estimated_amount": 17.93
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 48.4
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 46.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 30.25
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.93,
              "estimated_amount": 17.93
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 17.93,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 18.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 35.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 35.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 35.81
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 17.93,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 17.93,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 46.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 35.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 35.31
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 30.53
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 15.02
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 35.75
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 41.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 34.76
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.93,
              "estimated_amount": 17.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 34.76
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 30.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 35.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 67.24,
              "estimated_amount": 67.24
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 35.81
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 46.75
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 26.2,
              "estimated_amount": 26.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 35.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 67.24,
              "estimated_amount": 67.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 67.24,
              "estimated_amount": 67.24
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 40.15
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 40.15
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 46.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 45.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 30.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 34.76
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.93,
              "estimated_amount": 17.93
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 55,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 46.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 42.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 35.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 42.02
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 46.75
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 46.75
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 26.2,
              "estimated_amount": 26.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 34.76
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 17.93,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 18.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 26.2,
              "estimated_amount": 26.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 17.93,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 18.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 42.02
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 67.24,
              "estimated_amount": 67.24
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 40.15
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 40.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 67.24,
              "estimated_amount": 67.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 67.24,
              "estimated_amount": 67.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 67.24,
              "estimated_amount": 67.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 67.24,
              "estimated_amount": 67.24
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 55
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 41.25
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 46.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 30.25
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 17.93,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 18.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 45.6
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.93,
              "estimated_amount": 17.93
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 17.93,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 18.83,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 55,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 35.31
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 46.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 45.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 30.25
            }
          ],
          "minimum": 17.93,
          "maximum": 67.24
        }
      ]
    },
    {
      "description": "HC Audiometry Pure Tone, Air Only",
      "code_information": [
        {
          "code": "PX-47100008",
          "type": "CDM"
        },
        {
          "code": "92552",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 122,
          "discounted_cash": 79.3,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 77.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 122,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 122,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 93.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 122,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 103.7
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 80.52
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 103.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 100.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 67.1
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 101.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 100.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 100.04
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 103.7
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 79.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 122,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 89.06
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 91.5
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 103.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 106.99
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 67.1
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 101.14
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 103.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 77.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 93.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 122,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 79.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 78.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 78.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 98.7
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 89.06
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 89.06
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 89.06
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 103.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 77.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 100.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 100.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 67.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 78.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 122,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 79.42
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 89.06
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 122
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 122,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 67.71
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 103.7
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 33.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 77.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 67.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 77.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 106.99
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 67.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 78.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 122,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 122,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 122,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 91.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 78.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 122,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 122,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 79.42
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 103.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 77.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 100.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 100.04
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 101.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 93.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 93.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 93.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 78.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 122,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 103.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 122,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 89.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 122,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 79.42
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 67.71
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 67.1
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 103.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 77.1
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 107.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 78.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 78.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 122,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 122,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 98.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 78.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 78.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 78.32
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 67.71
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 103.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 77.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 67.1
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 103.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 78.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 79.42
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 67.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 93.21
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 100.04
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 91.5
            }
          ]
        }
      ]
    },
    {
      "description": "Ide G150057 Aaa 13-03 Gore Excluder Aortic Ext Endo",
      "code_information": [
        {
          "code": "PX-62400195",
          "type": "CDM"
        },
        {
          "code": "C1874",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2500,
          "discounted_cash": 1625,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1580
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2500,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2500,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2500,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1825
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2500,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2125
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2125
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1387.5
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1875
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1580
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2050
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2072.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1580
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1580
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1375
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2500,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1605
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2500,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1605
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1910
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2500,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1825
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2125
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1580
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1580
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2050
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1375
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2500,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2500,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1605
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1910
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1825
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2050
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2050
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2500,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2125
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1580
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2125
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1605
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1910
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1910
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2500,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1627.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1387.5
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 682.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1605
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1825
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1387.5
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2500,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2050
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1375
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1375
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2500,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 2200
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1605
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1910
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2500,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2125
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1605
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2022.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1627.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1825
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2500,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1580
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1375
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2500,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2500,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1605
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2500,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 547.5
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2500,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2500,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2500
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2500,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2125
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2500,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2500,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2500,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2500,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2500,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2125
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2192.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2050
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2125
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2192.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1375
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2500,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2500,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2072.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1605
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2500,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2500,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1825
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1387.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1605
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1605
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2500,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1627.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2125
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1650
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2050
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1375
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2500,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2500,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1875
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2500,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2500,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2500,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2500,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2125
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 1625
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2500,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1605
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1910
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2500,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2500,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1627.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2022.5
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2125
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2050
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1627.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2125
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1875
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2125
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2500,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2072.5
            }
          ]
        }
      ]
    },
    {
      "description": "HC Heart Valve 31",
      "code_information": [
        {
          "code": "PX-27800225",
          "type": "CDM"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 34812,
          "discounted_cash": 22627.8,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 22801.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 22801.86
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19146.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 22314.49
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 28162.91
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 22662.61
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 29590.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 21235.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 28545.84
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19146.6
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 28859.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 22801.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 22801.86
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 28545.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 28545.84
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 26109
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 22314.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 22314.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 22314.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 21235.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 28162.91
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 19320.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 22801.86
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 28545.84
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 28859.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 30530.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 21235.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 21235.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 22662.61
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 25412.76
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 25412.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 26596.37
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 22662.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 22662.61
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 29590.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 22801.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 30530.12
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19146.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 26596.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 26596.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 21235.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 21235.32
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 9503.68
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 29590.2
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 29590.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 26596.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 21235.32
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 26109
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 28545.84
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19146.6
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 29590.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 22244.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 22244.87
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 25412.76
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 22627.8
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 26109
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 29590.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 22314.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 22314.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 22314.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 21235.32
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 21235.32
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 19320.66
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 29590.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 28545.84
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19146.6
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 29590.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 28859.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 22314.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 22314.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 22314.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 21235.32
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 34812
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 29590.2
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 29590.2
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 22975.92
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 29590.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19146.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 28545.84
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19146.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 26596.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 22314.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 22244.87
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 22662.61
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 25412.76
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 19320.66
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 28545.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 21235.32
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 19320.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 26596.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 22244.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 21235.32
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 25412.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 22801.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 22314.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 21235.32
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 25412.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 22801.86
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 29590.2
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 30634.56
            }
          ]
        }
      ]
    },
    {
      "description": "HC Heart Valve 33",
      "code_information": [
        {
          "code": "PX-27800227",
          "type": "CDM"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 37390,
          "discounted_cash": 24303.5,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
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              "standard_charge_percentage": 65.5,
              "estimated_amount": 24490.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 30659.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
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              "standard_charge_percentage": 55,
              "estimated_amount": 20564.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
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              "standard_charge_percentage": 82.9,
              "estimated_amount": 30996.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
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              "standard_charge_percentage": 76.4,
              "estimated_amount": 28565.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
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              "standard_charge_percentage": 61,
              "estimated_amount": 22807.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
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              "standard_charge_percentage": 65.1,
              "estimated_amount": 24340.89
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
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              "standard_charge_percentage": 73,
              "estimated_amount": 27294.7
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 24303.5
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
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              "standard_charge_percentage": 85,
              "estimated_amount": 31781.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 23966.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 22807.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 22807.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 24340.89
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 31781.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 24490.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 30659.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 20564.5
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 31781.5
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 28042.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 24490.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 23966.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 23892.21
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 30248.51
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 31781.5
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 24677.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 28565.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 22807.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 22807.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 22807.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 22807.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 30659.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 20564.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 23966.99
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 31781.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 23966.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 23892.21
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 30248.51
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 30996.31
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 30996.31
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 30659.8
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 31781.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 23966.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 28565.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 22807.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 23966.99
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 30659.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 30659.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 23966.99
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 28042.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 27294.7
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 31781.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 31781.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 31781.5
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 31781.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 32791.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 24490.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 20564.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 23966.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 28565.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 23966.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 28565.96
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 31781.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 27294.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 23966.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 22807.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 24490.45
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 32903.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 30659.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 20564.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 20564.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 23892.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 22807.9
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 27294.7
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 20751.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 28565.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 22807.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 24340.89
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 27294.7
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 20751.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 24490.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 20564.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 23966.99
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 20751.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 37390
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 22807.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 23892.21
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 24340.89
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 10207.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 32791.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 24490.45
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 31781.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 23966.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 22807.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 24340.89
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 27294.7
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 20751.45
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 28042.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 24490.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 30659.8
            }
          ]
        }
      ]
    },
    {
      "description": "Briefs Attends Breathable Large 44 in - 58 In",
      "code_information": [
        {
          "code": "PX-CH-IMC48BRB30",
          "type": "CDM"
        },
        {
          "code": "A4520",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1.02,
          "discounted_cash": 0.66,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.67
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.02,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.56
            }
          ]
        }
      ]
    },
    {
      "description": "2 Pc Uro Pouch Mio Click 50mm",
      "code_information": [
        {
          "code": "PX-CH-CO11498",
          "type": "CDM"
        },
        {
          "code": "A4433",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.62,
          "discounted_cash": 0.4,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.4
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.4
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.17
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.4
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.34
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.62,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.4
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.39
            }
          ]
        }
      ]
    },
    {
      "description": "Lotion Remedy Phytoplex 4 Oz Hydragaurd",
      "code_information": [
        {
          "code": "PX-CH-MZMSC092534",
          "type": "CDM"
        },
        {
          "code": "A6250",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 14.59,
          "discounted_cash": 9.48,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9.22
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.02
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.02
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 12.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 11.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14.59,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 9.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 11.8
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 14.59,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14.59,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14.59,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 11.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 12.1
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 11.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 12.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 8.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14.59,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 11.96
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 12.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9.22
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 14.59,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 14.59,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14.59,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 9.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 14.59
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 14.59,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14.59,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14.59,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 9.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 11.8
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 14.59,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9.22
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 14.59,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14.59,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14.59,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14.59,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 10.65
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 10.65
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12.4
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 3.98
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12.4
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 10.94
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12.4
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.37
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 9.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 11.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 11.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 11.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14.59,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 10.65
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 8.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14.59,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 10.65
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 14.59,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 8.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.02
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 11.15
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 12.84
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 14.59,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14.59,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 10.94
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 11.96
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 11.96
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14.59,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 8.1
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 14.59,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 11.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 11.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14.59,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 9.5
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 14.59,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 10.94
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 11.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14.59,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 10.65
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 9.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14.59,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 14.59,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 12.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 11.15
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 10.65
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9.22
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.02
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 14.59,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "\"Wrap Conforming Gauze Roll 4\"\" X 75\"\" Conform Prefferd\"",
      "code_information": [
        {
          "code": "PX-CH-55CCB4",
          "type": "CDM"
        },
        {
          "code": "A6443",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.7,
          "discounted_cash": 0.45,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.58
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.61
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.57
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.51
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 0.7
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.7,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.46
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.44
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.6
            }
          ]
        }
      ]
    },
    {
      "description": "\"Gauze Sponge Sterile 12-Ply 4\"\" X 4\"\"\"",
      "code_information": [
        {
          "code": "PX-CH-55CSG44121S",
          "type": "CDM"
        },
        {
          "code": "A6402",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.09,
          "discounted_cash": 0.06,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.02
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.05
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.06
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.09,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "Dmd/Bmd Deletion/Duplication Sendout",
      "code_information": [
        {
          "code": "PX-30101378",
          "type": "CDM"
        },
        {
          "code": "81161",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 3071,
          "discounted_cash": 1996.15,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2693.27
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2545.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2346.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1971.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1999.22
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2610.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1940.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1940.87
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2518.22
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 2702.48
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1689.05
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2545.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1971.58
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1704.41
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2610.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2346.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1046.25,
              "estimated_amount": 1046.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1046.25,
              "estimated_amount": 1046.25
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2303.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1940.87
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2518.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2518.22
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2610.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2518.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2518.22
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1999.22
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1704.41
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2610.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1971.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1971.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1971.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1046.25,
              "estimated_amount": 1046.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1046.25,
              "estimated_amount": 1046.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2484.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1999.22
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 3071
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 2026.86
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2610.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1940.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2693.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1940.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1046.25,
              "estimated_amount": 1046.25
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2610.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1971.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1046.25,
              "estimated_amount": 1046.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1046.25,
              "estimated_amount": 1046.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1046.25,
              "estimated_amount": 1046.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1046.25,
              "estimated_amount": 1046.25
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2610.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1940.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1940.87
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1689.05
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2545.86
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1046.25,
              "estimated_amount": 1046.25
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2241.83
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2241.83
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2241.83
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1704.41
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 838.38
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2303.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1046.25,
              "estimated_amount": 1046.25
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2303.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2518.22
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1689.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1971.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1046.25,
              "estimated_amount": 1046.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1046.25,
              "estimated_amount": 1046.25
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2241.83
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2610.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2346.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1971.58
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2241.83
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1689.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1689.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1689.05
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2610.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1046.25,
              "estimated_amount": 1046.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1971.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1971.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1971.58
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1999.22
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2610.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1689.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2346.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1046.25,
              "estimated_amount": 1046.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1704.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2346.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1971.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1046.25,
              "estimated_amount": 1046.25
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2241.83
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 1996.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1940.87
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2518.22
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2610.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2346.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1046.25,
              "estimated_amount": 1046.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1999.22
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2484.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2518.22
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2610.35
            }
          ],
          "minimum": 1046.25,
          "maximum": 1046.25
        }
      ]
    },
    {
      "description": "2 Pc Pouch Uro 2 3/4 in New Image",
      "code_information": [
        {
          "code": "PX-CH-HO18404",
          "type": "CDM"
        },
        {
          "code": "A4432",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2.37,
          "discounted_cash": 1.54,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.94
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.3
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.32
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.3
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.78
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.32
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2.08
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.3
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.94
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.01
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.94
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 2.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.78
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2.08
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.01
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.01
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.37,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1.92
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.94
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.01
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.78
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.01
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.94
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.52
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.01
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.52
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.01
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.3
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1.92
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.94
            }
          ]
        }
      ]
    },
    {
      "description": "Contact Drsg Cutimed Sorbact Ribbon 4/5 in X 19 7/10 In",
      "code_information": [
        {
          "code": "PX-CH-IMCBI721660",
          "type": "CDM"
        },
        {
          "code": "A6266",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 20.49,
          "discounted_cash": 13.32,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 12.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 16.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 16.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.27
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 20.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.15
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 20.49,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 14.96
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 20.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 12.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 16.8
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 20.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.27
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 18.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 13.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 13.34
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.42
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 15.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.49,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.49,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 14.96
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 5.59
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.42
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.42
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.42
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 20.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 20.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 15.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.49,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.49,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 20.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.42
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 20.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.49,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.49,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 14.96
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 20.49
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.42
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.42
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 20.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 20.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 12.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 16.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 16.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.27
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.27
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.27
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 20.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.15
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 11.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 15.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.49,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 14.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 16.99
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 15.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 15.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.49,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.49,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 20.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 15.37
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 12.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 11.27
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 16.99
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 20.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 20.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 16.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 20.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.49,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 16.58
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 20.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.49,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.49,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.49,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.49,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 13.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 16.58
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 11.37
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 12.95
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 20.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 20.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 12.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 12.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 13.34
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 11.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.49,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 13.34
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 11.37
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 13.52
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 17.97
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 16.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 17.97
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 16.8
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 15.65
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 17.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.49,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 14.96
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 14.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 16.99
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 20.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 20.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 15.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 13.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 20.49,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 15.37
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 20.49,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 12.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 20.49,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 20.49,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "Foam Drsg Adhesive Silicone Cardinal 3 in X 3 In",
      "code_information": [
        {
          "code": "PX-CH-ZDSF33B",
          "type": "CDM"
        },
        {
          "code": "A6212",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 4.29,
          "discounted_cash": 2.79,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.71
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.52
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.29,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.13
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.38
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.29,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.29,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.65
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.65
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.29,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.71
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.52
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.29,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.29,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.29,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.29,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.29,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.79
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3.47
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.52
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.52
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.36
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.29,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.29,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.29,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.29,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.29,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3.47
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.71
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.29,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.29,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.36
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3.56
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.29,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.29,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.29,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.29,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.29,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.29,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.52
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.36
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.29,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3.56
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 3.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.29,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4.29,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.29,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.52
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.29,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.52
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.29,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.79
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.29,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.38
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.38
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 4.29
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.65
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 2.83
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.36
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.65
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.29,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.13
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.29,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.79
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.65
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.71
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.29,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.52
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.29,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.29,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.29,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.79
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.13
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.38
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.65
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.29,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4.29,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.79
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.71
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.36
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.36
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.29,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.29,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1.17
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.36
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.29,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.65
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.65
            }
          ]
        }
      ]
    },
    {
      "description": "Bag Hanger",
      "code_information": [
        {
          "code": "PX-CH-CO5070",
          "type": "CDM"
        },
        {
          "code": "A9270",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 11.57,
          "discounted_cash": 7.52,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.31
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.49
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.49
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.57,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7.53
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 6.42
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 3.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.57,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7.53
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 11.57,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.31
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.36
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.31
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.49
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.49
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.49
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.57,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 9.36
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8.45
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.83
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 3.16
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 8.68
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 11.57,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.57,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 9.36
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 11.57
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.31
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.49
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.36
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.36
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 9.59
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 10.18
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 10.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.36
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 9.59
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 10.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.57,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.57,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.57,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 6.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.57,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.57,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.57,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7.53
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 6.42
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 11.57,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 7.64
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.36
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.36
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 9.59
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 9.59
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.57,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.57,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.57,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.57,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.57,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8.45
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 6.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.57,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.57,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7.53
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.83
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 10.15
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.57,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.57,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.57,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 9.36
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 6.42
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.57,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8.45
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.83
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.83
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.49
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.49
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.36
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.43
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7.53
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.83
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 8.68
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 7.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.57,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.57,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.57,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 9.36
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8.45
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8.45
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 6.42
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 11.57
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.83
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.83
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.83
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 10.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.49
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 9.59
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.83
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 8.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.31
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.49
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.49
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.36
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.43
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 6.42
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.83
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.83
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 8.68
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 11.57,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.57,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.57,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 6.42
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.83
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 10.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.49
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.31
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.49
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.36
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 9.59
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.43
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.57,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.57,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.57,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.57,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 8.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 7.43
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 8.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.57,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.57,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 7.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 7.31
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.49
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 9.49
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.36
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 8.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.57,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 11.57,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 8.45
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 9.83
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 6.36
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 0.24,
          "discounted_cash": 0.16,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.16
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 0.24,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.16
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 0.24,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.16
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.16
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.24,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.24,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.15
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.24,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "Pill Splitter Ultra",
      "code_information": [
        {
          "code": "PX-CHAP70068",
          "type": "CDM"
        },
        {
          "code": "A9270",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 5.96,
          "discounted_cash": 3.87,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.77
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4.82
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.88
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.31
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.83
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.88
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.07
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.77
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.89
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.28
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.94
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.77
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.89
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.88
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 5.96
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.31
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.77
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.89
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.89
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 5.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.77
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.89
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.35
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.07
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4.82
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.35
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.07
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 3.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.77
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.89
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.28
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.94
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.94
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.77
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.89
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.89
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.28
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.94
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.88
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.35
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.31
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.28
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.94
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.28
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.07
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.83
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.35
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.31
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.31
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.07
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.07
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 5.96
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1.63
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.07
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 3.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.89
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.28
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.94
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.89
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 5.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4.82
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.88
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.07
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4.47
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.35
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.35
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.35
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.07
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.07
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5.96,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.77
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.77
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3.28
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.35
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.31
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1.63
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.83
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4.47
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5.96,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 3.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.77
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.89
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.77
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.35
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.07
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.88
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.35
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.35
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5.96,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.77
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.89
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.89
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 5.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.83
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.96,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4.35
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 3.31
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5.96,
              "additional_payer_notes": "OUTPATIENT"
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 10.21,
          "discounted_cash": 6.64,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.37
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 10.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 10.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 10.21,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.55
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7.45
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.68
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 7.66
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.37
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 10.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.68
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 8.26
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7.45
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7.45
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 10.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.37
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.62
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 10.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 8.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 10.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 8.46
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 10.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 8.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 5.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.8
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 10.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.68
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.37
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.62
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 10.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 10.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 10.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6.65
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 10.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.45
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 10.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6.65
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 8.26
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 10.21
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 2.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.37
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.37
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 10.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 10.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.68
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 6.74
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 5.67
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 5.67
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 10.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 10.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 5.67
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 10.21,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 7.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6.65
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.68
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.62
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 8.46
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 7.66
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 10.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.62
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 10.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.55
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.68
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 6.65
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 7.45
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.68
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 8.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.37
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 8.37
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 5.62
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 10.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 8.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 6.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 10.21,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 7.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 6.45
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 10.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 8.46
            }
          ]
        }
      ]
    },
    {
      "description": "HC Strapping Upper Extremity",
      "code_information": [
        {
          "code": "PX-45000253",
          "type": "CDM"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 812,
          "discounted_cash": 527.8,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 594.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 597.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 509.94
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 221.68
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 690.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 509.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 509.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 528.61
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 592.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 594.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 594.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 665.84
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 673.15
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 673.15
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 690.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 446.6
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 673.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 597.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 509.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 528.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 656.91
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 812
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 620.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 509.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 526.99
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 528.61
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 665.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 712.12
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 690.2
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 690.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 597.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 620.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 597.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 620.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 526.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 526.99
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 528.61
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 665.84
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 714.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 597.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 597.63
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 592.76
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.5,
              "estimated_amount": 596.82
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.5,
              "estimated_amount": 596.82
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 535.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 597.63
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 528.61
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.5,
              "estimated_amount": 596.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 594.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 446.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 594.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 665.84
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 665.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 597.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 620.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 509.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.9,
              "estimated_amount": 526.99
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 592.76
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.5,
              "estimated_amount": 596.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 446.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 446.6
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 690.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 665.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 509.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 509.94
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 609
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 690.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 620.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 597.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 509.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 509.94
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 656.91
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 592.76
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 609
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 712.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 594.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 665.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 597.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 620.37
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 592.76
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 690.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 509.94
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 592.76
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 690.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 446.6
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 690.2
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 690.2
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 509.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.8,
              "estimated_amount": 509.94
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 527.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 597.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.6,
              "estimated_amount": 597.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 594.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73.2,
              "estimated_amount": 594.38
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 665.84
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 446.6
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 690.2
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 690.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 446.6
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 609
            }
          ]
        }
      ]
    },
    {
      "description": "Gloves Nitrile Powder-Free Esteem Xp Small Extended Cuff",
      "code_information": [
        {
          "code": "PX-CHCV410501",
          "type": "CDM"
        },
        {
          "code": "A6236",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 25.64,
          "discounted_cash": 16.67,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 16.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 22.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 16.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25.64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 21.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 16.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25.64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 18.72
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 21.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 21.02
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 21.79
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 14.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25.64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25.64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25.64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 18.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 16.46
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 21.79
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 21.79
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 21.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 21.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 21.02
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 14.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 16.46
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 19.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 16.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25.64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 16.69
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 21.02
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 22.56
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 19.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 21.02
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 18.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 19.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 19.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 19.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25.64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25.64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 16.69
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 18.72
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 14.1
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 21.26
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 21.79
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 21.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 20.74
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 14.23
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 16.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 19.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 16.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 16.69
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 18.72
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 14.23
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 21.79
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 16.67
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 16.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 21.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 16.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 16.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25.64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25.64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 21.79
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 16.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25.64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25.64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25.64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 18.72
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 19.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 21.02
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 14.1
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 21.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 19.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 16.46
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 14.23
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 19.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25.64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25.64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 14.23
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 21.79
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 21.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 16.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 16.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 22.49
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 14.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 16.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 21.02
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 14.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 14.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 25.64
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 16.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 16.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 16.46
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25.64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 25.64,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 20.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 16.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 16.2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 16.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 21.02
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 16.69
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 0.14,
          "discounted_cash": 0.09,
          "payers_information": [
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.14,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.14,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.14,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 0.14
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.14,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.14,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.14,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 0.14,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.14,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.14,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 0.14,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.14,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.14,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.14,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.14,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.14,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.14,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.14,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.14,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.14,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.14,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.14,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.14,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.14,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.14,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.14,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.14,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.14,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.08
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.14,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.14,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.11
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.08
            }
          ]
        }
      ]
    },
    {
      "description": "HC Nerve Conduction Studies 13 or More",
      "code_information": [
        {
          "code": "PX-92200029",
          "type": "CDM"
        },
        {
          "code": "95913",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 4522,
          "discounted_cash": 2939.3,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2857.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2903.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4522,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4522,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3301.06
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3843.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2903.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4522,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 467.8,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2509.71
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3843.7
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4522,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 2939.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3708.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2487.1
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 467.8,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 3979.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2857.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3708.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3708.04
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3748.74
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 491.19,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4522,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4522,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4522,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3301.06
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 467.8,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3658.3
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3301.06
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3301.06
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3391.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2857.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2487.1
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 467.8,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4522,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3843.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 472.48,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3748.74
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3843.7
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2943.82
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2943.82
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3301.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2903.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4522,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4522,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4522,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 472.48,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 472.48,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3454.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4522,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3301.06
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3843.7
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3843.7
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3843.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3454.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4522,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4522,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2509.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2857.9
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 467.8,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 491.19,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 472.48,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3843.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2857.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2487.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2487.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2903.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2903.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4522,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4522,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2943.82
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3843.7
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3843.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3454.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2903.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4522,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2943.82
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 4522
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2857.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3708.04
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 467.8,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3965.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3708.04
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 467.8,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2903.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2943.82
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1234.51
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3708.04
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2487.1
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4522,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3391.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3708.04
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 467.8,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3843.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2903.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4522,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4522,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2509.71
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3843.7
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3843.7
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3748.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2857.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2857.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3708.04
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 491.19,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 467.8,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4522,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3454.81
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3391.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2903.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3454.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2903.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4522,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3658.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3965.79
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2487.1
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 491.19,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3843.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3454.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2903.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2903.12
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2509.71
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 467.8,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 2984.52
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2487.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 472.48,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 990.32
            }
          ]
        }
      ]
    },
    {
      "description": "1 Pc Pre Cut Ext Wear Cvx 7-8 in Active Life",
      "code_information": [
        {
          "code": "PX-CHCV175778",
          "type": "CDM"
        },
        {
          "code": "A4390",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 3.82,
          "discounted_cash": 2.48,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.82,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 3.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.92
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.12
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.41
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.82,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.82,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.49
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.49
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.25
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2.87
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.13
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.1
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.92
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.79
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.79
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 2.52
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.82,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.41
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.1
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.13
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2.87
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.45
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.25
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.82,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.13
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.13
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 3.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.82,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.82,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.82,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.82,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.82,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.25
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.79
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.25
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 2.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.82,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.82,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.13
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.1
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.82,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.82,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.49
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.12
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.12
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2.87
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.82,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.79
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.79
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.13
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.82,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.82,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.41
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3.09
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.13
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.13
            }
          ]
        }
      ]
    },
    {
      "description": "Underpad 23 in X 36 in Durasorb, Plus Fluff Core",
      "code_information": [
        {
          "code": "PX-CHKN7193",
          "type": "CDM"
        },
        {
          "code": "A4554",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.33,
          "discounted_cash": 0.21,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.33,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.33,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.33,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 0.33
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.33,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.33,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.33,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.33,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.33,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.33,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.33,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.33,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.33,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.33,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.33,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.33,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.33,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.33,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.09
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 0.21
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.18
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.28
            }
          ]
        }
      ]
    },
    {
      "description": "HC Incisional Biopsy of Skin Each Additional",
      "code_information": [
        {
          "code": "PX-36100931",
          "type": "CDM"
        },
        {
          "code": "11107",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 361,
          "discounted_cash": 234.65,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 228.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 316.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 296.02
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 198.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 361,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 306.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 231.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 361,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 361,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 263.53
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 361,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 306.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 306.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 275.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 361,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 361,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 292.05
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 263.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 231.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 361,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 235.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 235.01
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 270.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 228.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 296.02
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 198.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 198.55
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 306.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 231.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 292.05
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 306.85
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 238.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 275.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 361,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 361,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 263.53
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 361,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 361,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 296.02
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 198.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 296.02
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 198.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 231.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 361,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 361,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 361,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 98.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 231.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 361,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 235.01
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 361,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 306.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 228.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 198.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 296.02
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 306.85
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 306.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 275.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 231.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 231.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 231.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 235.01
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 263.53
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 270.75
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 306.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 228.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 316.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 296.02
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 296.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 228.15
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 361,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 361,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 361,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 317.68
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 263.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 231.76
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 198.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 228.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 228.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 228.15
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 296.02
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 306.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 275.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 231.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 361,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 306.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 231.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 361,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 234.65
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 299.27
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 299.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 275.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 361,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 231.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 235.01
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 306.85
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 270.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 275.8
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 263.53
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 299.27
            }
          ]
        }
      ]
    },
    {
      "description": "HC Removal of Subq Cardiac Rhythm Monitor",
      "code_information": [
        {
          "code": "PX-36100936",
          "type": "CDM"
        },
        {
          "code": "33286",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 15444,
          "discounted_cash": 10038.6,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9760.61
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 614.07,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 15444,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 11799.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15444,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 601.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13127.4
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13127.4
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11274.12
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 601.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "estimated_amount": 3580
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 11583
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 620.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9760.61
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 12664.08
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 601.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 631.14,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 15444,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9915.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15444,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15444,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15444,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15444,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10054.04
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 601.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9915.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15444,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15444,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 12494.2
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 12494.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 12664.08
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 614.07,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 614.07,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13127.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15444,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11274.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 11799.22
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13127.4
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13127.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9760.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9760.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9760.61
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 15444,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 13590.72
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8494.2
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 11799.22
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "estimated_amount": 3580
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 18,
              "estimated_amount": 2779.92
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 18,
              "estimated_amount": 2779.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9915.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15444,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15444,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10054.04
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11274.12
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13127.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9760.61
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 12664.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 12664.08
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8494.2
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13127.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8494.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8494.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 620.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 644.77,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 11799.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9915.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9915.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9915.05
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "estimated_amount": 3580
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 11583
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15444,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15444,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13127.4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13127.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 12664.08
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8494.2
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 614.07,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 620.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 12803.08
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15444,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10054.04
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13127.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 11799.22
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8494.2
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 11583
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 644.77,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13127.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9915.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9915.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 11799.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15444,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10054.04
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10054.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9915.05
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11274.12
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "estimated_amount": 3580
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 10038.6
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 10193.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 13544.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 12664.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 12664.08
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 3382.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 12664.08
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 620.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15444,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15444,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11274.12
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "estimated_amount": 3580
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13127.4
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13127.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9915.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9915.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15444,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11274.12
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 4216.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 13544.39
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8494.2
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 644.77,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9915.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9760.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9760.61
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 601.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 12803.08
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 12803.08
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 601.09,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 620.21,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13127.4
            }
          ]
        }
      ]
    },
    {
      "description": "HC Tert Gene Analysis Targeted Sequence Analysis So",
      "code_information": [
        {
          "code": "PX-30101432",
          "type": "CDM"
        },
        {
          "code": "81345",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2246,
          "discounted_cash": 1459.9,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1419.47
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1235.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1715.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1441.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 694.5,
              "estimated_amount": 694.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 694.5,
              "estimated_amount": 694.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 694.5,
              "estimated_amount": 694.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1639.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1441.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 694.5,
              "estimated_amount": 694.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 694.5,
              "estimated_amount": 694.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 694.5,
              "estimated_amount": 694.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1817.01
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2246
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1246.53
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1246.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1419.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1419.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1715.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1715.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1441.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1441.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 694.5,
              "estimated_amount": 694.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1462.15
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1462.15
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1639.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1419.47
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1909.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1841.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1841.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1715.94
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1246.53
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1909.1
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1909.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1441.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1715.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 694.5,
              "estimated_amount": 694.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1639.58
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1684.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1419.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1419.47
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1841.72
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1817.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1441.93
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1462.15
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1419.47
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1841.72
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1235.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1441.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 694.5,
              "estimated_amount": 694.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1462.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1441.93
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1639.58
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1639.58
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1909.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1419.47
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1861.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1441.93
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1684.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 694.5,
              "estimated_amount": 694.5
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1462.15
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1909.1
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1482.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 694.5,
              "estimated_amount": 694.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1909.1
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 1459.9
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1976.48
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1909.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1841.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1841.72
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 694.5,
              "estimated_amount": 694.5
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1684.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1441.93
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 694.5,
              "estimated_amount": 694.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1639.58
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1909.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1841.72
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1235.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1235.3
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1909.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1969.74
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1235.3
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1909.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1441.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1715.94
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 694.5,
              "estimated_amount": 694.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 694.5,
              "estimated_amount": 694.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 694.5,
              "estimated_amount": 694.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 694.5,
              "estimated_amount": 694.5
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 613.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1441.93
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1909.1
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1909.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1969.74
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1841.72
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1235.3
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1246.53
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1235.3
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1861.93
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1861.93
            }
          ],
          "minimum": 694.5,
          "maximum": 694.5
        }
      ]
    },
    {
      "description": "\"1 Pc Pre Cut Deep Cvx Sensura Mio W Filter 1-1-4\"\" Stoma\"",
      "code_information": [
        {
          "code": "PX-CHCO16773",
          "type": "CDM"
        },
        {
          "code": "A4389",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2.51,
          "discounted_cash": 1.63,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2.2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.06
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.38
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.51,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2.08
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.51,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.51,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.39
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2.51,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.51,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.51,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.51,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2.08
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.51,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.51,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.63
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.59
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.06
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.38
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.51,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.59
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.06
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.63
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2.03
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.51,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.39
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.59
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.06
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.51,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.51,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.83
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.51,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.59
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.51,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.59
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.06
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.51,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.51,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.63
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.83
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2.51
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.83
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.83
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1.66
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.92
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2.03
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.83
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.51,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.38
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.51,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.51,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.06
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2.08
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.63
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2.51,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.69
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.38
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 2.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.51,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.83
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.51,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.51,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Inject Skin Lesions 7 or Less",
      "code_information": [
        {
          "code": "PX-51000114",
          "type": "CDM"
        },
        {
          "code": "11900",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 907,
          "discounted_cash": 589.55,
          "minimum": 67.21,
          "maximum": 95.11,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 67.21,
              "estimated_amount": 67.21
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 743.74
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 498.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 498.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 176.48,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 183.47,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "estimated_amount": 140
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 582.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 733.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 907,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 907,
              "additional_payer_notes": " ASC LISTED"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 770.95
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 770.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 67.21,
              "estimated_amount": 67.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 67.21,
              "estimated_amount": 67.21
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 743.74
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 743.74
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 498.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 176.48,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 907,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 770.95
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 680.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 692.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 907,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 770.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 95.11,
              "estimated_amount": 95.11
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 174.73,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 770.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 743.74
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 183.47,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 692.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 907,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 590.46
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 680.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 582.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 907,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 590.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 590.46
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 174.73,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 498.85
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 680.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 67.21,
              "estimated_amount": 67.21
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 743.74
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 498.85
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 751.9
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 174.73,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 692.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 582.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 582.29
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 662.11
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 503.39
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 770.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 582.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 907,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 590.46
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 590.46
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 770.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 770.95
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 176.48,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 174.73,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 183.47,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 751.9
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 907,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 183.47,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 662.11
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 174.73,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 174.73,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 770.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 692.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 907,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 503.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 743.74
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 174.73,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 176.48,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 798.16
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 174.73,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 582.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 692.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 907,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 907,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 770.95
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 907,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 907
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 770.95
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 770.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 907,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 907,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 733.76
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 907,
              "additional_payer_notes": " ASC LISTED"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 598.62
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 176.48,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 174.73,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 751.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 67.21,
              "estimated_amount": 67.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 67.21,
              "estimated_amount": 67.21
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 743.74
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 174.73,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 770.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 582.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 692.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 582.29
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 247.61
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 589.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 582.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 582.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 907,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 907,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 770.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 67.21,
              "estimated_amount": 67.21
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 743.74
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 95.11,
              "estimated_amount": 95.11
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 498.85
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 907,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 907,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 907,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 662.11
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 662.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 582.29
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 662.11
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 662.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 582.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 907,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 907,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 503.39
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 503.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 67.21,
              "estimated_amount": 67.21
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 498.85
            }
          ]
        }
      ]
    },
    {
      "description": "Antiseptic Chlorascrub Wipe",
      "code_information": [
        {
          "code": "PX-CHICV360B10800",
          "type": "CDM"
        },
        {
          "code": "A4245",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 0.35,
          "discounted_cash": 0.23,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.28
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.26
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.23
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.19
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 0.35,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.22
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 0.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 0.35,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 0.35,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.31
            }
          ]
        }
      ]
    },
    {
      "description": "Walk Boot Prefab Off the Shelf Off the Shelf",
      "code_information": [
        {
          "code": "PX-27400087",
          "type": "CDM"
        },
        {
          "code": "L4361",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 131,
          "discounted_cash": 85.15,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 131,
              "additional_payer_notes": "INFUSION"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 131,
              "additional_payer_notes": "INFUSION"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 131,
              "additional_payer_notes": "INFUSION"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 84.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 131,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 72.71
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 304.63,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 304.63,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 131,
              "additional_payer_notes": "INFUSION"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 304.63,
              "estimated_amount": 304.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 131,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 72.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 84.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 84.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 131,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 72.71
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 304.63,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 319.86,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 131,
              "additional_payer_notes": "INFUSION"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 108.6
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 304.63,
              "estimated_amount": 304.63
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 304.63,
              "estimated_amount": 304.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 84.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 85.28
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 95.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 131,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 131,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 131,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 85.28
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 72.71
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 131,
              "additional_payer_notes": "INFUSION"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 304.63,
              "estimated_amount": 304.63
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 304.63,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 319.86,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 304.63,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 307.68,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 84.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 131,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 131,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 105.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 84.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 84.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 131,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 85.28
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 304.63,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 304.63,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 304.63,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 304.63,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 131,
              "additional_payer_notes": "INFUSION"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 131,
              "additional_payer_notes": "INFUSION"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 304.63,
              "estimated_amount": 304.63
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 85.28
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 95.63
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 95.63
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 304.63,
              "estimated_amount": 304.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 131,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 95.63
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 108.6
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 304.63,
              "estimated_amount": 304.63
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 304.63,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 307.68,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 105.98
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 304.63,
              "estimated_amount": 304.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 84.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 84.1
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 85.28
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 95.63
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 304.63,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 307.68,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 108.6
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 304.63,
              "estimated_amount": 304.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 84.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 84.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 131,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 84.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 131,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 131,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 95.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 131,
              "additional_payer_notes": "INFUSION"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 131,
              "additional_payer_notes": "INFUSION"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 304.63,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 319.86,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 304.63,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 307.68,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 131,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 131,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 131,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 131,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 304.63,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 319.86,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 304.63,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 307.68,
              "additional_payer_notes": "DMEPOS FEE SCHEDULE"
            }
          ],
          "minimum": 304.63,
          "maximum": 304.63
        }
      ]
    },
    {
      "description": "HC Estrone So",
      "code_information": [
        {
          "code": "PX-30101030",
          "type": "CDM"
        },
        {
          "code": "82679",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 31,
          "discounted_cash": 20.15,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 13.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 25.42
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.95,
              "estimated_amount": 24.95
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 93.56,
              "estimated_amount": 93.56
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 26.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 93.56,
              "estimated_amount": 93.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.74,
              "estimated_amount": 16.74
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 26.35
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 25,
              "estimated_amount": 7.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 24.95,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 25.2,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.95,
              "estimated_amount": 24.95
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 24.95,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 26.2,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 31.63,
              "estimated_amount": 31.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 31.63,
              "estimated_amount": 31.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 93.56,
              "estimated_amount": 93.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 93.56,
              "estimated_amount": 93.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 24.95,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 24.95,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 24.95,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 24.95,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 26.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 30.4,
              "estimated_amount": 30.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 93.56,
              "estimated_amount": 93.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 93.56,
              "estimated_amount": 93.56
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 22.63
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.74,
              "estimated_amount": 16.74
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 17.05
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 24.95,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 26.2,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 26.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 31.63,
              "estimated_amount": 31.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 93.56,
              "estimated_amount": 93.56
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 22.63
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 26.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 30.4,
              "estimated_amount": 30.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 15.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 22.63
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 23.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 25.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 25.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 17.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 24.95,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 25.2,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 24.95,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 25.2,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 31,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 26.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 30.4,
              "estimated_amount": 30.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 93.56,
              "estimated_amount": 93.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 93.56,
              "estimated_amount": 93.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 31.63,
              "estimated_amount": 31.63
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 15.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 22.63
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 26.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 25.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 13.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 13.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 25.42
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 24.95,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 25.2,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.95,
              "estimated_amount": 24.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 31.63,
              "estimated_amount": 31.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 31.63,
              "estimated_amount": 31.63
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 15.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 26.35
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 31
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 29.77,
              "estimated_amount": 29.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 13.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 25.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 17.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 17.05
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.95,
              "estimated_amount": 24.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 31.63,
              "estimated_amount": 31.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 93.56,
              "estimated_amount": 93.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 93.56,
              "estimated_amount": 93.56
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 27.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 15.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 22.63
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 26.35
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 29.77,
              "estimated_amount": 29.77
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.74,
              "estimated_amount": 16.74
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 26.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 13.95
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 15.5
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 15.5
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.95,
              "estimated_amount": 24.95
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 26.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 13.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 13.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 13.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 13.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 13.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 25.42
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.95,
              "estimated_amount": 24.95
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.95,
              "estimated_amount": 24.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 93.56,
              "estimated_amount": 93.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 15.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 22.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 31.63,
              "estimated_amount": 31.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 31.63,
              "estimated_amount": 31.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 31.63,
              "estimated_amount": 31.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 93.56,
              "estimated_amount": 93.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 93.56,
              "estimated_amount": 93.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 93.56,
              "estimated_amount": 93.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 15.5
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 24.95,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 24.95,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 26.35
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 20.46
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 24.95,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 25.2,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 25.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 17.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 17.05
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 15.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 31.63,
              "estimated_amount": 31.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 93.56,
              "estimated_amount": 93.56
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.74,
              "estimated_amount": 16.74
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 20.15
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 26.35
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 29.77,
              "estimated_amount": 29.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 30.4,
              "estimated_amount": 30.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 30.4,
              "estimated_amount": 30.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 93.56,
              "estimated_amount": 93.56
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 23.25
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 23.25
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 24.95,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 26.2,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 26.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 31.63,
              "estimated_amount": 31.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 30.4,
              "estimated_amount": 30.4
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 15.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 17.05
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 24.95,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 26.2,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            }
          ],
          "minimum": 16.74,
          "maximum": 93.56
        }
      ]
    },
    {
      "description": "HC Immunoassay Noninfectious Agent So",
      "code_information": [
        {
          "code": "PX-30101037",
          "type": "CDM"
        },
        {
          "code": "83516",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 153,
          "discounted_cash": 99.45,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 68.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 125.46
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.53,
              "estimated_amount": 11.53
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 134.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.75,
              "estimated_amount": 24.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.75,
              "estimated_amount": 24.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 43.24,
              "estimated_amount": 43.24
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 111.69
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 100.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.75,
              "estimated_amount": 24.75
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 111.69
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.48,
              "estimated_amount": 9.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 68.85
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.53,
              "estimated_amount": 11.53
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.53,
              "estimated_amount": 11.53
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.53,
              "estimated_amount": 11.53
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 153,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 125.46
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 84.15
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 84.15
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.53,
              "estimated_amount": 11.53
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 114.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.75,
              "estimated_amount": 24.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 43.24,
              "estimated_amount": 43.24
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 111.69
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 130.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 43.24,
              "estimated_amount": 43.24
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 76.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 130.05
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.86,
              "estimated_amount": 16.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 68.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 68.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 68.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 125.46
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 11.53,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 11.65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.75,
              "estimated_amount": 24.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 43.24,
              "estimated_amount": 43.24
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 76.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 111.69
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 130.05
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 130.05
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 130.05
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 130.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 116.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 116.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 43.24,
              "estimated_amount": 43.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 43.24,
              "estimated_amount": 43.24
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 76.5
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 111.69
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 130.05
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.86,
              "estimated_amount": 16.86
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 99.45
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 130.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 125.46
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 11.53,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 11.65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 43.24,
              "estimated_amount": 43.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 43.24,
              "estimated_amount": 43.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 43.24,
              "estimated_amount": 43.24
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 76.5
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 11.53,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 11.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.75,
              "estimated_amount": 24.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 43.24,
              "estimated_amount": 43.24
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 76.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.48,
              "estimated_amount": 9.48
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 114.75
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 130.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 68.85
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.53,
              "estimated_amount": 11.53
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 130.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 125.46
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 84.15
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 130.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.75,
              "estimated_amount": 24.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 116.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 43.24,
              "estimated_amount": 43.24
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 130.05
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 43.24,
              "estimated_amount": 43.24
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 111.69
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.48,
              "estimated_amount": 9.48
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 125.46
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 84.15
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 76.5
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.86,
              "estimated_amount": 16.86
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 84.15
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.75,
              "estimated_amount": 24.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 116.89
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 25,
              "estimated_amount": 38.25
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 114.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 116.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 43.24,
              "estimated_amount": 43.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 43.24,
              "estimated_amount": 43.24
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 76.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.48,
              "estimated_amount": 9.48
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 11.53,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 11.65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 11.53,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 12.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 11.53,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 12.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 84.15
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 153,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.75,
              "estimated_amount": 24.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.75,
              "estimated_amount": 24.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 43.24,
              "estimated_amount": 43.24
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 76.5
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 11.53,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 11.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 130.05
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 153
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 68.85
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 76.5
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 153,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 68.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 68.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 125.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 125.46
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 84.15
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 11.53,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 11.65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 11.53,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 12.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 11.53,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 11.65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 116.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.75,
              "estimated_amount": 24.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 43.24,
              "estimated_amount": 43.24
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 76.5
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.53,
              "estimated_amount": 11.53
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 130.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.75,
              "estimated_amount": 24.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 43.24,
              "estimated_amount": 43.24
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 11.53,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 11.53,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 68.85
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 11.53,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 12.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            }
          ],
          "minimum": 9.48,
          "maximum": 43.24
        }
      ]
    },
    {
      "description": "HH St Treat Swallowing",
      "code_information": [
        {
          "code": "PX-44100102",
          "type": "CDM"
        },
        {
          "code": "92526",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 66.35,
          "discounted_cash": 43.13,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 58.19
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 41.93
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 54.41
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 36.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 66.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 66.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 66.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 43.19
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 48.44
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 48.44
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 66.35
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 56.4
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 49.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 42.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 50.69
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 66.35
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 66.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 66.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 66.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 43.19
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 56.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 42.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 50.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 66.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 48.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 41.93
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 36.49
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 66.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 36.49
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 56.4
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 56.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 66.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 66.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 66.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 36.82
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 43.13
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 36.49
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 66.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 54.41
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 55
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 66.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 42.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 42.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 66.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 66.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 43.19
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 56.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 42.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 50.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 41.93
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 66.35
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 66.35
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 58.39
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 18.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 66.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 53.68
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 66.35
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 56.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 41.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 41.93
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 66.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 54.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 54.41
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 66.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 42.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 66.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 48.44
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 56.4
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 49.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 42.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 42.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 66.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 66.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 43.19
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 48.44
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 36.82
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 41.93
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 36.49
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 36.49
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 55
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 56.4
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 58.19
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 54.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 54.41
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 66.35
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 69.67
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 53.68
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 56.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 42.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 42.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 66.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 36.82
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 36.82
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 56.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 54.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 54.41
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 66.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 66.35
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 67.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 41.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 41.93
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 36.49
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 66.35
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 56.4
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 56.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 42.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 50.69
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 48.44
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 56.4
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 43.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 42.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 50.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 66.35,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 43.19
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 56.4
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 55
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 66.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 50.69
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 66.35
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "fee schedule",
              "standard_charge_algorithm": "The highest priced service per service date from the OP Rehab fee schedules is priced at the full fee schedule rate, while all others for that service date are priced at the reduced fee schedule rate.",
              "estimated_amount": 66.35
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 49.76
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 62.15,
          "discounted_cash": 43.13,
          "payers_information": [
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 62.15,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 62.15,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 62.15,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 62.15,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 62.15,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 62.15,
              "additional_payer_notes": "OUTPATIENT"
            }
          ]
        }
      ]
    },
    {
      "description": "HH Aide Visit",
      "code_information": [
        {
          "code": "PX-57100100",
          "type": "CDM"
        },
        {
          "code": "G0156",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 34.65,
          "discounted_cash": 22.52,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 30.39
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 30.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 26.47
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 25.29
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 29.45
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 29.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 34.65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 34.65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 34.65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 21.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 21.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 28.41
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 25.99
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 29.45
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 25.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 22.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 34.65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 25.29
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 19.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 21.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 26.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 34.65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 34.65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 19.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 21.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 28.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 28.41
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 22.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 22.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 22.56
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 25.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 22.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 21.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19.06
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19.06
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 28.72
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 30.49
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 28.41
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 29.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 22.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 19.23
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 34.65,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 34.65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 34.65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 34.65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 34.65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 34.65
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 34.65,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 21.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 28.41
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 22.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 34.65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 29.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 22.56
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 29.45
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 29.45
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 29.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 22.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 34.65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 25.29
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 19.23
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 9.46
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 29.45
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 29.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 22.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 26.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 26.47
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 22.25
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 25.29
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 22.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 22.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 22.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 22.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 26.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 34.65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 34.65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 34.65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 28.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 22.56
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 25.29
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 25.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 21.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 28.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 28.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 28.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 21.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19.06
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 28.72
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 28.72
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 29.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 22.56
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 29.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 34.65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 34.65,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 22.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 26.47
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 28.03
            }
          ]
        }
      ]
    },
    {
      "description": "HC Inj Myelogram Ls W Imaging",
      "code_information": [
        {
          "code": "PX-36100774",
          "type": "CDM"
        },
        {
          "code": "62304",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 5683,
          "discounted_cash": 3693.95,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3591.66
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4660.06
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 684.05,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4830.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3648.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5683,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5683,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5683,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4148.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4341.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3648.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5683,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4830.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3591.66
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4660.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4660.06
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 684.05,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 705.81,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3591.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3591.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3591.66
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4660.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4660.06
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 705.81,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 705.81,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 718.25,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3648.49
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 698.82,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3648.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4341.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3699.63
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4830.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3125.65
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 698.82,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4341.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3648.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4341.81
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3699.63
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4830.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 705.81,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 1244.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3591.66
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4660.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3648.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3648.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3648.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5683,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4148.59
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4830.55
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4148.59
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1551.46
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4660.06
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3125.65
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 718.25,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4830.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4983.99
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3591.66
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3125.65
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5683,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5683,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4830.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3648.49
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5683,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3648.49
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 698.82,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4262.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3125.65
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5683,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4262.25
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4711.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4341.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5683,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5683,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5683,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4597.55
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4148.59
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "estimated_amount": 3580
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3648.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3648.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5683,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3699.63
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4148.59
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4262.25
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 698.82,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 698.82,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3591.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5683,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4597.55
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "estimated_amount": 3580
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5683,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4341.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5683,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5683,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5683,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5683,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3699.63
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 698.82,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "fee schedule",
              "estimated_amount": 3580
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "estimated_amount": 3580
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4830.55
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4830.55
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 3750.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4983.99
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 705.81,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4711.21
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 718.25,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 5001.04
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4660.06
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3125.65
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 698.82,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4830.55
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 3693.95
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4830.55
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5683,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3699.63
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4148.59
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4830.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3125.65
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4711.21
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 718.25,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5683,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5683,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "estimated_amount": 3580
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4830.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3125.65
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 698.82,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4830.55
            }
          ]
        }
      ]
    },
    {
      "description": "HC Xr Bone Density Dexa Axial and Verteb",
      "code_information": [
        {
          "code": "PX-32000224",
          "type": "CDM"
        },
        {
          "code": "77085",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 605,
          "discounted_cash": 393.25,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 382.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 530.59
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 501.55
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 453.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 388.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 462.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 605,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 605,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 605,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 605,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 514.25
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 514.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 605,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 489.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 393.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 382.36
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 605,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 332.75
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 605,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 514.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 388.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 605,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 441.65
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 335.78
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 514.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 388.41
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 441.65
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 514.25
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 514.25
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 501.55
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 388.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 388.41
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 441.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 462.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 605,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 393.86
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 165.17
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 496.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 496.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 496.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 332.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 332.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 96.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 605,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 514.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 605,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 393.86
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 441.65
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 514.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 382.36
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 96.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 96.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 100.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 388.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 605,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 605,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 335.78
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 335.78
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 514.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 388.41
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 514.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 496.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 332.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 96.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 388.41
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 514.25
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 393.25
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 453.75
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 605,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 605,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 605,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 514.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 382.36
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 496.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 496.1
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 100.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 514.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 382.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 530.59
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 332.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 332.75
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 95.95,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 605,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 388.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 462.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 605,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 393.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 388.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 462.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 462.22
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 393.86
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 453.75
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 399.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 382.36
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 382.36
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 496.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 332.75
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 100.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 382.36
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 100.75,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 96.91,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 388.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 605,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 605
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 388.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 605,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 605,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 489.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 496.1
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 501.55
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 605,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 462.22
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 441.65
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 441.65
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 335.78
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 514.25
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 605,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 532.4
            }
          ]
        }
      ]
    },
    {
      "description": "HC Colonoscopy Stoma W Balloon Dilat",
      "code_information": [
        {
          "code": "PX-75000152",
          "type": "CDM"
        },
        {
          "code": "44405",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 5626,
          "discounted_cash": 3656.9,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4934
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4934
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4663.95
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4663.95
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5626,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 4950.88
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4106.98
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4106.98
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4782.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3611.89
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4219.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4613.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3094.3
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4663.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 3595.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 3595.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3662.53
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4106.98
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4782.1
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4782.1
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 3656.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3611.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 3595.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4551.43
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1535.9
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 3713.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3555.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3555.63
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4782.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3555.63
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3094.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3611.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 3595.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 3595.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 3595.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 3595.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4551.43
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5626,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3611.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4298.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4298.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66.2,
              "estimated_amount": 3724.41
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 3595.01
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4782.1
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4219.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4613.32
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4782.1
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66.2,
              "estimated_amount": 3724.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3662.53
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4106.98
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4782.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4298.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4298.26
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5626,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4613.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3094.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3555.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4613.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3611.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 3595.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 3595.01
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5626,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4782.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4613.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3094.3
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5626,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5626,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 3595.01
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4782.1
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4782.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3611.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3662.53
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4782.1
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 4219.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3555.63
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4782.1
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4782.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3611.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3611.89
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3662.53
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5626,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 3595.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66.2,
              "estimated_amount": 3724.41
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4782.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4613.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3094.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3555.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4613.32
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 1232.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3611.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3611.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 3595.01
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66.2,
              "estimated_amount": 3724.41
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3662.53
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4106.98
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 4106.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5626,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5626,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3611.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3611.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4298.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4298.26
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5626,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3555.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4613.32
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3094.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 3094.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3555.63
            }
          ]
        }
      ]
    },
    {
      "description": "HC Antidepressant Not Specified So",
      "code_information": [
        {
          "code": "PX-30101077",
          "type": "CDM"
        },
        {
          "code": "80338",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 282,
          "discounted_cash": 183.3,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 126.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 126.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 282,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 183.3
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 239.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 282,
              "additional_payer_notes": "REFERENCE LAB"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 282,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 205.86
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.75,
              "estimated_amount": 8.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 231.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 155.1
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 141
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 231.24
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 141
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 176.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 282,
              "additional_payer_notes": "REFERENCE LAB"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 282,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 141
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 205.86
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 205.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 176.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 176.25
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 282
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 239.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 126.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 126.9
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 282,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 176.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 282,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 282,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 282,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 141
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.75,
              "estimated_amount": 8.75
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 25,
              "estimated_amount": 70.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 176.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 282,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 282,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 205.86
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 239.7
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 211.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 126.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 126.9
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 211.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 231.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 155.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 155.1
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.85,
              "estimated_amount": 12.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 176.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 282,
              "additional_payer_notes": "REFERENCE LAB"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 141
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 141
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 239.7
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 239.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 176.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 282,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 282,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 239.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 126.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 155.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 155.1
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 239.7
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 239.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 176.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 282,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 205.86
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 205.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 176.25
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 239.7
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.85,
              "estimated_amount": 12.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 126.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 231.24
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 141
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 176.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 176.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 141
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.85,
              "estimated_amount": 12.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 176.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 282,
              "additional_payer_notes": "REFERENCE LAB"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 282,
              "additional_payer_notes": "REFERENCE LAB"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 282,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 239.7
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 211.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 231.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 231.24
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 239.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 282,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 282,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 282,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 141
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 141
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.75,
              "estimated_amount": 8.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 155.1
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 282,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 126.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 231.24
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 282,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 282,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 282,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 186.12
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 239.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 231.24
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 239.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 282,
              "additional_payer_notes": "REFERENCE LAB"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.75,
              "estimated_amount": 8.75
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 239.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 45,
              "estimated_amount": 126.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 155.1
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 248.16
            }
          ],
          "minimum": 8.75,
          "maximum": 12.85
        }
      ]
    },
    {
      "description": "Mrph Alys Ish Quant Semiq Man Multi Sendout",
      "code_information": [
        {
          "code": "PX-31000137",
          "type": "CDM"
        },
        {
          "code": "88377",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2198,
          "discounted_cash": 1428.7,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1389.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1389.14
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2198,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1411.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 589.69,
              "estimated_amount": 589.69
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1604.54
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1868.3
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 589.69,
              "estimated_amount": 589.69
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1430.9
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1389.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1389.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1802.36
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1208.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1208.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 150.57,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 589.69,
              "estimated_amount": 589.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 589.69,
              "estimated_amount": 589.69
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 149.07,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 589.69,
              "estimated_amount": 589.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 589.69,
              "estimated_amount": 589.69
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1430.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1430.9
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1868.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1389.14
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 149.07,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 156.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1648.5
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1868.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1411.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 589.69,
              "estimated_amount": 589.69
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1604.54
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1604.54
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1219.89
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 119.25,
              "estimated_amount": 119.25
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1450.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1411.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 589.69,
              "estimated_amount": 589.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 589.69,
              "estimated_amount": 589.69
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1430.9
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1868.3
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1868.3
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1648.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1927.65
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1208.9
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 149.07,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1822.14
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2198,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1802.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1679.27
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1219.89
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1868.3
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 1428.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 589.69,
              "estimated_amount": 589.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 589.69,
              "estimated_amount": 589.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 589.69,
              "estimated_amount": 589.69
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1219.89
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1868.3
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1208.9
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1822.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1802.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1411.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 589.69,
              "estimated_amount": 589.69
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1778.18
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1604.54
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 149.07,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1411.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1679.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1411.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1411.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1679.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1679.27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1430.9
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1648.5
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1868.3
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1802.36
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1208.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 150.57,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 156.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1389.14
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1802.36
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1802.36
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1208.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1208.9
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 149.07,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1679.27
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 589.69,
              "estimated_amount": 589.69
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1868.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1411.12
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2198
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1868.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1389.14
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1822.14
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1868.3
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 156.53,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 150.57,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 589.69,
              "estimated_amount": 589.69
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1219.89
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 149.07,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 600.05
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 119.25,
              "estimated_amount": 119.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1411.12
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1778.18
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 21.9,
              "estimated_amount": 481.36
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1868.3
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1604.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1411.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1411.12
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1868.3
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1868.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1389.14
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 150.57,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 150.57,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 149.07,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 149.07,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 149.07,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2198,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1934.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1679.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1411.12
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 589.69,
              "estimated_amount": 589.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 589.69,
              "estimated_amount": 589.69
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1604.54
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1927.65
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1802.36
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1802.36
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 149.07,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 156.53,
              "additional_payer_notes": "OPPS APC"
            }
          ],
          "minimum": 119.25,
          "maximum": 589.69
        }
      ]
    },
    {
      "description": "Hiv-1/-2 Ab Differentiation Sendout",
      "code_information": [
        {
          "code": "PX-30200611",
          "type": "CDM"
        },
        {
          "code": "86701",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 521,
          "discounted_cash": 338.65,
          "minimum": 7.3,
          "maximum": 33.34,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10.44,
              "estimated_amount": 10.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 521,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 427.22
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 8.89,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 9.33,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.89,
              "estimated_amount": 8.89
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 442.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.22,
              "estimated_amount": 18.22
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.53,
              "estimated_amount": 11.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.53,
              "estimated_amount": 11.53
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.3,
              "estimated_amount": 7.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.95,
              "estimated_amount": 18.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.22,
              "estimated_amount": 18.22
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.3,
              "estimated_amount": 7.3
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 521,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 8.89,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 9.33,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 521,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 427.22
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 286.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 286.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 8.89,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 8.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.53,
              "estimated_amount": 11.53
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.98,
              "estimated_amount": 12.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 33.34,
              "estimated_amount": 33.34
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 521
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 8.89,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 8.89,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.89,
              "estimated_amount": 8.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.95,
              "estimated_amount": 18.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 33.34,
              "estimated_amount": 33.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 33.34,
              "estimated_amount": 33.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 33.34,
              "estimated_amount": 33.34
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 442.85
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 442.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 427.22
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.89,
              "estimated_amount": 8.89
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 442.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.95,
              "estimated_amount": 18.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 33.34,
              "estimated_amount": 33.34
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 390.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.95,
              "estimated_amount": 18.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.95,
              "estimated_amount": 18.95
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.53,
              "estimated_amount": 11.53
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 380.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 521,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 427.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 427.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 427.22
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 286.55
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 8.89,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 8.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.89,
              "estimated_amount": 8.89
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.53,
              "estimated_amount": 11.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.95,
              "estimated_amount": 18.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.22,
              "estimated_amount": 18.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.95,
              "estimated_amount": 18.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 33.34,
              "estimated_amount": 33.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 33.34,
              "estimated_amount": 33.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 33.34,
              "estimated_amount": 33.34
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 8.89,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 8.89,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.89,
              "estimated_amount": 8.89
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.89,
              "estimated_amount": 8.89
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.89,
              "estimated_amount": 8.89
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 8.89,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 8.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.53,
              "estimated_amount": 11.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.95,
              "estimated_amount": 18.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 33.34,
              "estimated_amount": 33.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.53,
              "estimated_amount": 11.53
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.53,
              "estimated_amount": 11.53
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 380.33
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 25,
              "estimated_amount": 130.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.22,
              "estimated_amount": 18.22
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.22,
              "estimated_amount": 18.22
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 380.33
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.3,
              "estimated_amount": 7.3
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 442.85
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 8.89,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 8.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 442.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 521,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.95,
              "estimated_amount": 18.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 33.34,
              "estimated_amount": 33.34
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 380.33
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 442.85
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.98,
              "estimated_amount": 12.98
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 442.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 286.55
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 390.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 8.89,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 8.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 442.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.22,
              "estimated_amount": 18.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 33.34,
              "estimated_amount": 33.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 33.34,
              "estimated_amount": 33.34
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 380.33
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.3,
              "estimated_amount": 7.3
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.95,
              "estimated_amount": 18.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 33.34,
              "estimated_amount": 33.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.53,
              "estimated_amount": 11.53
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 8.89,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 8.89,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 338.65
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.89,
              "estimated_amount": 8.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10.44,
              "estimated_amount": 10.44
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 521,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 286.55
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 286.55
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 8.89,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 9.33,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 521,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 427.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 427.22
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 286.55
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.89,
              "estimated_amount": 8.89
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 458.48
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.95,
              "estimated_amount": 18.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 33.34,
              "estimated_amount": 33.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 33.34,
              "estimated_amount": 33.34
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 442.85
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 390.75
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 442.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.95,
              "estimated_amount": 18.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 33.34,
              "estimated_amount": 33.34
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 33.34,
              "estimated_amount": 33.34
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 442.85
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.98,
              "estimated_amount": 12.98
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 8.89,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 9.33,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.53,
              "estimated_amount": 11.53
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 380.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 521,
              "additional_payer_notes": "Reference Lab"
            }
          ]
        }
      ]
    },
    {
      "description": "Hspc Room and Bed Friendship Village Dublin",
      "code_information": [
        {
          "code": "PX-65900118",
          "type": "CDM"
        },
        {
          "code": "T2046",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 249.78,
          "discounted_cash": 162.36,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 157.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 160.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 160.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 190.83
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 212.31
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 212.31
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 249.78,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 164.85
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 212.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 249.78,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 249.78,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 249.78,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 249.78,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 162.61
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 219.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 157.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 157.86
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 204.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 137.38
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 212.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 160.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 249.78,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 202.07
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 162.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 160.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 160.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 249.78,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 182.34
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 212.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 157.86
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 212.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 249.78,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 182.34
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 138.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 204.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 137.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 137.38
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 212.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 157.86
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 137.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 190.83
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 212.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 162.61
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 204.82
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 207.07
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 160.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 249.78,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 249.78,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 249.78,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 249.78,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 249.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 219.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 219.06
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 204.82
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 207.07
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 212.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 157.86
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 137.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 190.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 160.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 190.83
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 187.34
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 68.19
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 212.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 249.78,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 182.34
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 187.34
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 212.31
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 204.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 137.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 157.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 157.86
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 204.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 160.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 160.36
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 162.61
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 138.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 160.36
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 249.78,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 249.78,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 249.78,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 202.07
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 182.34
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 138.63
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 138.63
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 187.34
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 212.31
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 204.82
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 137.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 160.36
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 190.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 190.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 160.36
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 162.61
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 182.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 204.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 249.78,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 249.78,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 249.78,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 182.34
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 207.07
            }
          ]
        }
      ]
    },
    {
      "description": "Irrigation Tray W-60 Cc Piston Syringe",
      "code_information": [
        {
          "code": "PX-CHA1PIT",
          "type": "CDM"
        },
        {
          "code": "A4320",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1.16,
          "discounted_cash": 0.75,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.16,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.16,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.16,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.16,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.16,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.32
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.16,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.99
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.16,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.16,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.16,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.16,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.16,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.94
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.16,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.16,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.16,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.16,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.99
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.99
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.16,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.16,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.16,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.16,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.16,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.16,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1.16,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1.16,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.16,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.16,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.16,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.16,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.76
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.99
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.16,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.16,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.16,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.94
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.16,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.16,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.99
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.99
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.16,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.16,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.16,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.16,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1.02
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.73
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1.02
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.64
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.99
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.16,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.16,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.99
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.95
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.16,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.16,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1.02
            }
          ]
        }
      ]
    },
    {
      "description": "HC Hpa 1 Genotyping Arc",
      "code_information": [
        {
          "code": "PX-30401446",
          "type": "CDM"
        },
        {
          "code": "81105",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 160,
          "discounted_cash": 104,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 160,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 131.2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 122.22,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 123.44,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 100
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 100
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 458.33,
              "estimated_amount": 458.33
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 80
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 116.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 104.85,
              "estimated_amount": 104.85
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 136
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 458.33,
              "estimated_amount": 458.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 458.33,
              "estimated_amount": 458.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 458.33,
              "estimated_amount": 458.33
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 116.8
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 116.8
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 80
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 122.22,
              "estimated_amount": 122.22
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 122.22,
              "estimated_amount": 122.22
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 458.33,
              "estimated_amount": 458.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 458.33,
              "estimated_amount": 458.33
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 104.85,
              "estimated_amount": 104.85
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 122.22,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 122.22,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 104
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 160,
              "additional_payer_notes": "REFERENCE LAB"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 100
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 160,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 131.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 88
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 140.8
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 136
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 160,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 122.22,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 123.44,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 80
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 122.22,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 128.33,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 120
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 160,
              "additional_payer_notes": "REFERENCE LAB"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 458.33,
              "estimated_amount": 458.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 100
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 160,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 131.2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 80
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 122.22,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 128.33,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 122.22,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 128.33,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 122.22,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 122.22,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 120
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 136
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 100
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 100
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 458.33,
              "estimated_amount": 458.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 458.33,
              "estimated_amount": 458.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 458.33,
              "estimated_amount": 458.33
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 80
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 136
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 120
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 131.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 88
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 122.22,
              "estimated_amount": 122.22
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 122.22,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 123.44,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 122.22,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 123.44,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 100
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 80
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 80
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 160,
              "additional_payer_notes": "REFERENCE LAB"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 116.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 104.85,
              "estimated_amount": 104.85
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 131.2
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 122.22,
              "estimated_amount": 122.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 154.21,
              "estimated_amount": 154.21
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 122.22,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 122.22,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 160,
              "additional_payer_notes": "REFERENCE LAB"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 100
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 160,
              "additional_payer_notes": "REFERENCE LAB"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 458.33,
              "estimated_amount": 458.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 458.33,
              "estimated_amount": 458.33
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 122.22,
              "estimated_amount": 122.22
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 136
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 136
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 160,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 131.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 88
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 88
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 160,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 131.2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 160,
              "additional_payer_notes": "REFERENCE LAB"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 458.33,
              "estimated_amount": 458.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 458.33,
              "estimated_amount": 458.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 458.33,
              "estimated_amount": 458.33
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 116.8
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 136
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 100
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 100
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 136
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 122.22,
              "estimated_amount": 122.22
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 154.21,
              "estimated_amount": 154.21
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 160,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 160,
              "additional_payer_notes": "Reference Lab"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 136
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 136
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 131.2
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 122.22,
              "estimated_amount": 122.22
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 122.22,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 123.44,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 116.8
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 25,
              "estimated_amount": 40
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 100
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 458.33,
              "estimated_amount": 458.33
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 458.33,
              "estimated_amount": 458.33
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 80
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 104.85,
              "estimated_amount": 104.85
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 88
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 88
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 122.22,
              "estimated_amount": 122.22
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 122.22,
              "estimated_amount": 122.22
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 122.22,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 128.33,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 136
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 62.5,
              "estimated_amount": 100
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 80
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 50,
              "estimated_amount": 80
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 136
            }
          ],
          "minimum": 104.85,
          "maximum": 458.33
        }
      ]
    },
    {
      "description": "Cyp2d6 Gen Cyp2d6-2d7 Hybrid Sendout",
      "code_information": [
        {
          "code": "PX-30401441",
          "type": "CDM"
        },
        {
          "code": "0072U",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 4982,
          "discounted_cash": 3238.3,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3148.62
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2740.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3198.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1690.91,
              "estimated_amount": 1690.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1690.91,
              "estimated_amount": 1690.91
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4234.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3198.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3806.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1690.91,
              "estimated_amount": 1690.91
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3243.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3243.28
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3636.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3148.62
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3736.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4085.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2740.1
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3806.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3806.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3198.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1690.91,
              "estimated_amount": 1690.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1690.91,
              "estimated_amount": 1690.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1690.91,
              "estimated_amount": 1690.91
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3736.5
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4234.7
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4085.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2740.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2740.1
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4085.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4085.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3806.25
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4030.44
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 3238.3
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3736.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4085.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2740.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2740.1
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4234.7
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4234.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3198.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1690.91,
              "estimated_amount": 1690.91
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3636.86
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2765.01
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4234.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3198.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1690.91,
              "estimated_amount": 1690.91
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3243.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3243.28
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3636.86
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3636.86
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3148.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3148.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3148.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3198.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1690.91,
              "estimated_amount": 1690.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1690.91,
              "estimated_amount": 1690.91
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4030.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3243.28
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3636.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3198.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3198.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3806.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1690.91,
              "estimated_amount": 1690.91
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4234.7
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4234.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3148.62
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4130.08
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 4384.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3148.62
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4085.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3198.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1690.91,
              "estimated_amount": 1690.91
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1360.09
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4234.7
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4234.7
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4234.7
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4234.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3198.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3806.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1690.91,
              "estimated_amount": 1690.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1690.91,
              "estimated_amount": 1690.91
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4234.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3198.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3198.44
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2765.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4369.21
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4085.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3148.62
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4130.08
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3636.86
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2765.01
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2765.01
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 4982
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1690.91,
              "estimated_amount": 1690.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1690.91,
              "estimated_amount": 1690.91
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1690.91,
              "estimated_amount": 1690.91
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4369.21
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2740.1
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4130.08
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 3288.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4085.24
            }
          ],
          "minimum": 1690.91,
          "maximum": 1690.91
        }
      ]
    },
    {
      "description": "HC Phys Exercise Study Incl Hemodynamic Measure",
      "code_information": [
        {
          "code": "PX-48100078",
          "type": "CDM"
        },
        {
          "code": "93464",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 476,
          "discounted_cash": 309.4,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 300.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 300.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 417.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 261.8
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 394.6
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 476,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 476,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 363.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 363.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 476,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 385.08
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 347.48
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 404.6
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 347.48
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 404.6
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 404.6
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 309.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 390.32
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 476,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 476,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 305.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 476,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 309.88
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 476,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 476,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 314.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 363.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 305.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 305.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 476,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 476,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 476,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 476,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 404.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 390.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 390.32
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 476,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 394.6
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 476,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 390.32
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 476,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 363.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 305.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 476,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 309.88
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 309.88
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 476,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 385.08
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 404.6
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 476,
              "additional_payer_notes": "ALL OTHER OP"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 418.88
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 261.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 363.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 476,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 347.48
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 404.6
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 404.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 305.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 476,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 261.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 476,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 476,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 300.83
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 476,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 476,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 309.88
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 357
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 404.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 305.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 476,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 347.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 300.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 417.45
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 390.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 390.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 390.32
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 404.6
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 476,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 305.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 305.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 363.66
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 476,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 476,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 404.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 476,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 305.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 305.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 476,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 476,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 347.48
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 476,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 129.95
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 404.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 300.83
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 476,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 300.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 300.83
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 261.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 476,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 394.6
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 404.6
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 476,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 476,
              "additional_payer_notes": "OP SURG "
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 305.59
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 347.48
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 476,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 476,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 300.83
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 261.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 261.8
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 476,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 476,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 476,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 305.59
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 476,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 309.88
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 404.6
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 357
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 390.32
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 357
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 476,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 476,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 476,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 476,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 261.8
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 476,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 404.6
            }
          ]
        }
      ]
    },
    {
      "description": "Moisture Barrier Calazime Remedy Zinc 4 Oz",
      "code_information": [
        {
          "code": "PX-CHMZMSC094544",
          "type": "CDM"
        },
        {
          "code": "A6250",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 12.79,
          "discounted_cash": 8.31,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8.08
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 10.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.21
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 8.33
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 7.1
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.79,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.79,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.79,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.79,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 8.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 11.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 10.49
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 10.49
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.03
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.03
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 10.49
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 12.79,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 10.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 9.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.79,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 10.35
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 12.79,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 12.79,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 12.79,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.79,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.79,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.79,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 8.33
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 7.1
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 12.79,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 9.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.79,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.79,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 9.34
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 9.34
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 12.79
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 8.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 10.49
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 12.79,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.87
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.03
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 12.79,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.79,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 9.77
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 9.34
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.87
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 11.22
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 10.49
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.03
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 9.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.21
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 12.79,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.79,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.79,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 8.33
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 10.49
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.03
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 7.03
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 12.79,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.79,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.87
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 7.1
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 3.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8.08
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.87
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 11.26
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.21
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.87
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.87
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.21
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.79,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 9.34
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 9.59
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8.08
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 12.79,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 10.6
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 10.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 9.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.21
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 9.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.79,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 9.34
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 12.79,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 8.21
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 10.35
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 9.34
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 12.79,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 9.59
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 10.49
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 10.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 12.79,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 8.33
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 7.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 8.08
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 9.59
            }
          ]
        }
      ]
    },
    {
      "description": "\"Foam Drsg Adhesive Border Mepilex Sacral 6.3\"\"X7.9\"\"\"",
      "code_information": [
        {
          "code": "PX-CHSM282055",
          "type": "CDM"
        },
        {
          "code": "A6213",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 15.5,
          "discounted_cash": 10.07,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9.8
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 12.85
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 11.84
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10.09
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11.32
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.18
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 11.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 13.59
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 12.71
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 12.71
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 12.71
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 12.71
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.53
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.53
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 12.54
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11.32
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.18
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 10.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 13.59
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9.8
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.53
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 12.54
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10.09
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11.32
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10.09
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.53
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9.8
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.18
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 13.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.18
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.18
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.18
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 15.5,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9.8
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 12.71
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.53
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 12.85
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 12.71
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 11.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 10.09
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11.32
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 8.6
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.53
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 12.85
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 11.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 11.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 15.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.18
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 11.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.95
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 8.6
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 4.23
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 11.63
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 15.5,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 11.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.95
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11.32
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 8.6
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 8.6
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 13.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 12.71
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.5,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 11.84
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11.32
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 12.71
            }
          ]
        }
      ]
    },
    {
      "description": "\"2 Pc Ctf Std Wear Sensura Flex Up to 3 1-2\"\" Stoma 3 1-2\"\" Flg\"",
      "code_information": [
        {
          "code": "PX-CHCO10108",
          "type": "CDM"
        },
        {
          "code": "A4415",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 8.04,
          "discounted_cash": 5.23,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 8.04
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 2.19
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5.87
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4.46
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 6.67
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6.59
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.42
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 6.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.83
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 5.31
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5.87
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.08
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 6.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4.46
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5.87
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.83
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.83
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4.46
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.08
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 6.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.16
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.83
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 6.03
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6.59
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.42
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 6.03
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.08
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6.59
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6.59
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 6.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 4.46
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 8.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5.87
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 4.42
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 7.08
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 7.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6.59
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 6.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.16
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.14
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 5.23
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.08
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6.59
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 6.59
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 6.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 5.16
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 5.87
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 6.83
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 7.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 5.08
            }
          ]
        }
      ]
    },
    {
      "description": "Packing Strips Plain 1-4 in X 5 Yds Curity",
      "code_information": [
        {
          "code": "PX-CHKN7631",
          "type": "CDM"
        },
        {
          "code": "A6407",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 5.28,
          "discounted_cash": 3.43,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.34
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.9
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 4.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.44
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.93
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.96
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.44
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4.63
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.03
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4.27
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.44
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.33
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.33
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.9
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.49
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.33
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.9
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.85
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.34
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.33
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.9
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.33
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.9
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.44
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.85
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 3.48
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.03
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.85
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.03
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.49
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 4.27
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.93
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5.28,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 4.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.33
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.39
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.85
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 5.28,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 5.28
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.34
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 4.33
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.9
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.38
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.03
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.39
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 4.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 3.34
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 3.44
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1.44
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.49
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 3.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 4.03
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.49
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 5.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 5.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 4.49
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.9
            }
          ]
        }
      ]
    },
    {
      "description": "Skin Sleeves Protector Arm Geri-Sleeve Medium Brown",
      "code_information": [
        {
          "code": "PX-CHAZ503350",
          "type": "CDM"
        },
        {
          "code": "A9270",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 32.55,
          "discounted_cash": 21.16,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 20.57
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 20.57
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 26.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 20.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 32.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 32.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 23.76
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 21.48
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 27.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 20.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 20.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 26.69
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 26.69
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 26.98
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 27.67
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 17.9
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 27.67
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 21.19
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 27.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 20.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 20.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 32.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 17.9
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 23.76
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 23.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 32.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 26.33
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 32.55,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 27.67
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 17.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 17.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 20.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 32.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 32.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 23.76
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 18.07
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 21.19
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 27.67
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 24.41
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 26.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 20.57
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 26.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 24.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 32.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 32.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 23.76
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 18.07
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 27.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 20.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 26.33
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 27.67
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 8.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 20.57
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 20.57
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 26.69
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 17.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 32.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 32.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 27.67
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 32.55
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 32.55,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 20.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 24.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 24.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 32.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 23.76
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 24.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 28.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 20.57
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 26.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 20.57
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 26.69
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 17.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 20.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 20.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 32.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 32.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 32.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 21.19
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 18.07
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 20.57
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 28.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 24.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 32.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 32.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 20.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 20.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 24.87
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 32.55,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 18.07
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 27.67
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 27.67
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 28.55
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 26.69
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 17.9
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 26.98
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 24.41
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 27.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 24.87
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 21.19
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 21.19
            }
          ]
        }
      ]
    },
    {
      "description": "Catheter Silicone Elastomer 22 Fr 5 Cc",
      "code_information": [
        {
          "code": "PX-CHKN402722",
          "type": "CDM"
        },
        {
          "code": "A4338",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 3.17,
          "discounted_cash": 2.06,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2.78
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.06
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2.63
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 3.17
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.69
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 2.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.74
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.74
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.74
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.42
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2.56
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.69
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.74
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.31
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.69
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.74
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 2.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.31
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.06
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.31
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.74
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.31
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.31
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.74
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2.63
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2.63
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.06
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2.38
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2.38
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.69
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.42
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 2.11,
          "discounted_cash": 1.37,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.33
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.79
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.33
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.33
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1.71
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.58
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1.39
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.37
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.17
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.79
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.33
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1.86
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.37
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.17
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.58
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.17
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1.71
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.79
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.33
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.79
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2.11
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.17
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.37
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.79
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.75
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.75
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.37
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.73
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 1.28,
          "discounted_cash": 0.83,
          "payers_information": [
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.7
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.7
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1.04
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.71
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.71
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.06
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.06
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.71
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.71
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.7
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.7
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1.28
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.7
            }
          ]
        }
      ]
    },
    {
      "description": "Trach Mask Adult",
      "code_information": [
        {
          "code": "PX-CHTELE1075",
          "type": "CDM"
        },
        {
          "code": "A7525",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2.13,
          "discounted_cash": 1.38,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.17
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.77
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.39
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2.13,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.13,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.55
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.13,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.13,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.37
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.55
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.81
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.75
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.75
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.13,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.37
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.13,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.81
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.13,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.55
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.17
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.13,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.18
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.39
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.55
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2.13,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.81
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.17
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1.72
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.55
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.13,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.6
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.81
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.13,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.17
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.77
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.37
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.18
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.58
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.81
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.39
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.81
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.81
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.17
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.37
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.39
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.55
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.37
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2.13
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.17
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.39
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1.72
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.13,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "Drainage Bag With Antireflux 2000ml Slide-Tap Drain Port",
      "code_information": [
        {
          "code": "PX-CHMZDYND15205",
          "type": "CDM"
        },
        {
          "code": "A4357",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 4.3,
          "discounted_cash": 2.79,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3.77
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3.77
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.53
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3.56
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.3,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.3,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.23
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.3,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.8
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.14
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.37
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3.56
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.3,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.3,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.53
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.3,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.76
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.3,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4.3,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.14
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.66
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.66
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.3,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.72
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.37
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.3,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.3,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.3,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.3,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.3,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.3,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 4.3
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.3,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.23
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.3,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.3,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.3,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.14
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.72
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.3,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.3,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.14
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.3,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.3,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.39
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.37
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.3,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.53
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.53
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.53
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.3,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.3,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.3,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.8
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.3,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.3,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.39
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.66
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.72
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.3,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.3,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.53
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.37
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.3,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.76
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.3,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.3,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.72
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.53
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.37
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.66
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3.48
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.8
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.14
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 2.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.76
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3.48
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.3,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.23
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.37
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3.56
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.66
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.3,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.3,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.8
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.39
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.76
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1.17
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.72
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.37
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.3,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.3,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.39
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4.3,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.72
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 3.78
            }
          ]
        }
      ]
    },
    {
      "description": "Heart Valve 37",
      "code_information": [
        {
          "code": "PX-27800236",
          "type": "CDM"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 42545,
          "discounted_cash": 27654.25,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 27866.98
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 34886.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 23399.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 32504.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 25952.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 25952.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 34418.91
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 31057.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 23612.48
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 23612.48
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 36163.25
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 25952.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 23612.48
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 36163.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 27866.98
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 27866.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 25952.45
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 27271.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 27271.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 27271.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 27271.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 27186.26
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 36163.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 34886.9
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 36163.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 27271.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 27186.26
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 27696.8
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 36163.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 27271.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 27271.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 25952.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 25952.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 27866.98
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 34886.9
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 31908.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 27866.98
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 34886.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 27271.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 25952.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 27696.8
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 36163.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 27271.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 32504.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 27186.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.9,
              "estimated_amount": 27186.26
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 25952.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 25952.45
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 11614.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 27866.98
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 35269.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 27866.98
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 36163.25
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 36163.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 32504.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 25952.45
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 25952.45
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 42545
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 36163.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 27271.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 25952.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 27696.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 27696.8
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 31057.85
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 36163.25
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.5,
              "estimated_amount": 27866.98
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 23399.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 23399.75
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 31057.85
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 31908.75
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 31057.85
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 31057.85
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 23612.48
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 37311.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 37311.97
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 34886.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 34886.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 27271.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.1,
              "estimated_amount": 27271.35
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 36163.25
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 28079.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 32504.38
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 34418.91
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 35269.81
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 34886.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 34886.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 23399.75
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 35269.81
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 32504.38
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 31908.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 23399.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 32504.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 61,
              "estimated_amount": 25952.45
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 27696.8
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 31057.85
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 36163.25
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 27654.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 23399.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 23399.75
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 37439.6
            }
          ]
        }
      ]
    },
    {
      "description": "Catheter Silicone Elastomer 24 Fr 30 Cc",
      "code_information": [
        {
          "code": "PX-CHKN403724",
          "type": "CDM"
        },
        {
          "code": "A4338",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 3.17,
          "discounted_cash": 2.06,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.06
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2.56
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.31
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 2.09
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.74
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.74
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2.38
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.31
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.06
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2.38
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.69
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.69
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.06
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.31
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2.78
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.74
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.06
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 3.17
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.69
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2.63
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.69
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2.38
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.69
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.74
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.69
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 2.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.69
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2.63
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2.56
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.69
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.69
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.74
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.31
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.74
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.74
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 2.11,
          "discounted_cash": 1.37,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.33
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.37
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1.71
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.17
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.79
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.79
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.79
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.75
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1.86
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.37
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.17
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.33
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.79
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.58
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.33
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.17
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.58
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.79
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.79
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.37
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1.85
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.37
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.33
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1.71
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.33
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.37
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.33
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.33
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.75
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 1.28,
          "discounted_cash": 0.83,
          "payers_information": [
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.7
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.7
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.71
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.71
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.7
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1.04
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1.04
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1.28
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.7
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.06
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1.13
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.71
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.71
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.06
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.06
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "Catheter Silicone Elastomer 18 Fr 30 Cc",
      "code_information": [
        {
          "code": "PX-CHKN403718",
          "type": "CDM"
        },
        {
          "code": "A4338",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 3.17,
          "discounted_cash": 2.06,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 2.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 2.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.31
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.42
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.06
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.74
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2.63
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2.56
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 2.06
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2.63
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.31
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.31
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.06
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.69
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.69
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.74
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2.78
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.31
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.74
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.74
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.76
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2.38
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 2.42
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.06
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.06
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.31
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 2.31
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 3.17
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.69
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.74
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 2.38
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2.78
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.06
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.69
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.6
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.74
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 3.17,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.69
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.69
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 1.28,
          "discounted_cash": 0.83,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1.13
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.84
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.06
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.71
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.7
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.06
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.7
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.7
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.7
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1.04
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1.28
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.71
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1.12
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.98
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.71
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1.12
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.96
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1.04
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.71
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.83
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.82
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.93
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.81
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.7
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.7
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.28,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.06
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.09
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.7
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 2.04,
          "discounted_cash": 1.33,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.29
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.12
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.49
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.13
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.29
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.12
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.56
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.49
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.49
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.13
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.33
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.33
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.53
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1.79
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.12
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.69
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1.8
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.31
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2.04
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.31
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.49
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2.04,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.29
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.29
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.29
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.29
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.12
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.69
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.31
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1.65
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.13
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.12
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.56
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.49
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.29
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.12
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.31
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.04,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.33
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.31
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.49
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.56
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2.04,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.56
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.33
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.13
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.29
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.04,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.04,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 2.11,
          "discounted_cash": 1.37,
          "payers_information": [
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.58
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1.85
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.33
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2.11
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.79
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.33
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.37
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.58
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.33
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.75
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.37
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.17
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.79
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1.71
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.79
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.37
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.79
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.33
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 1.86
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 1.71
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.37
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.17
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.17
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.17
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 1.37
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.61
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.54
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.75
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 1.75
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.58
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.33
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 1.73
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.79
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.35
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1.39
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.79
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.16
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.37
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 1.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.33
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 1.85
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.11,
              "additional_payer_notes": "OPPS APC"
            }
          ]
        }
      ]
    },
    {
      "description": "HC Mstu Inr",
      "code_information": [
        {
          "code": "PX-30500138",
          "type": "CDM"
        },
        {
          "code": "85610",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 36,
          "discounted_cash": 23.4,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 22.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 22.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 29.52
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_dollar": 4.29,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 4.33,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC MANAGED MEDICAID [275]",
              "plan_name": "UHC MEDICAID COMMUNITY PLAN [275400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 36,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 23.44
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 19.98
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.11
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 26.28
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 31.57
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19.8
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_dollar": 4.29,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 4.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICAID [255]",
              "plan_name": "CARESOURCE MEDICAID [255400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 36,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_dollar": 4.29,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 4.33,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 29.84
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.29,
              "estimated_amount": 4.29
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_dollar": 4.29,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 4.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 27.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 36
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 19.98
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_dollar": 4.29,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 4.29,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.09,
              "estimated_amount": 16.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.09,
              "estimated_amount": 16.09
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 19.98
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_dollar": 4.29,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 4.29,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.6
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 29.52
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 29.52
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19.8
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_dollar": 4.29,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 4.33,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 29.84
            },
            {
              "payer_name": "MOLINA MANAGED MEDICAID [260]",
              "plan_name": "MOLINA MEDICAID OF OHIO [260405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 36,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 22.75
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_dollar": 4.29,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 4.33,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 29.84
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.29,
              "estimated_amount": 4.29
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.09,
              "estimated_amount": 16.09
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 26.28
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_dollar": 4.29,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 4.29,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 9.83
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.09,
              "estimated_amount": 16.09
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 26.28
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 26.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 29.52
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.29,
              "estimated_amount": 4.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.09,
              "estimated_amount": 16.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 23.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.09,
              "estimated_amount": 16.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 23.44
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 22.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 29.52
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19.8
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.29,
              "estimated_amount": 4.29
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.6
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 27.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.09,
              "estimated_amount": 16.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.09,
              "estimated_amount": 16.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.09,
              "estimated_amount": 16.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 23.44
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.74,
              "estimated_amount": 5.74
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.6
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 22.75
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.29,
              "estimated_amount": 4.29
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 29.52
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 27.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 27.5
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_dollar": 4.29,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 4.33,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.09,
              "estimated_amount": 16.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.09,
              "estimated_amount": 16.09
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.6
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 29.12
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.6
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 27
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 27.5
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.6
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 23.76
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 22.75
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 29.52
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19.8
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 27
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 22.75
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19.8
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 19.8
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.29,
              "estimated_amount": 4.29
            },
            {
              "payer_name": "PARAMOUNT MANAGED MEDICAID [554]",
              "plan_name": "PARAMOUNT ADVANTAGE MEDICAID [554400]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.74,
              "estimated_amount": 5.74
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.6
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.09,
              "estimated_amount": 16.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.09,
              "estimated_amount": 16.09
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 23.44
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 29.12
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 26.28
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.6
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.6
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 30.6
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 22.75
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 31.57
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 29.52
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.29,
              "estimated_amount": 4.29
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.09,
              "estimated_amount": 16.09
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 23.4
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.74,
              "estimated_amount": 5.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.11
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 23.11
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.09,
              "estimated_amount": 16.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.09,
              "estimated_amount": 16.09
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.09,
              "estimated_amount": 16.09
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 26.28
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 31.68
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 27.5
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 19.98
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_dollar": 4.29,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 4.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_dollar": 4.29,
              "standard_charge_algorithm": "Includes reimbursement for any outliers.",
              "estimated_amount": 4.5,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            }
          ],
          "minimum": 4.29,
          "maximum": 16.09
        }
      ]
    },
    {
      "description": "Toothette Suction Oral Swab Single Use System",
      "code_information": [
        {
          "code": "PX-CHBUR6512",
          "type": "CDM"
        },
        {
          "code": "A4649",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2.56,
          "discounted_cash": 1.66,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.56,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.56,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.1
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.62
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.56,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.56,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.56,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.56,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2.56,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.56,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2.25
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.1
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.56,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.1
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.56,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 2.25
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.56,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.56,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.56,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.56,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 2.25
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.41
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.41
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.62
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.1
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.56,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.56,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2.07
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.56,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.56,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.1
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.56,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.56,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.56,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.41
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.56,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.56,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.56,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.56,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 2.56,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.56,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.92
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.56,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.92
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.1
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.96
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.56,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 1.92
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.56,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.56,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.56,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 1.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 1.62
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.41
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.56,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.56,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.41
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 1.41
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2.12
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 1.42
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.56,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 1.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 1.96
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 2.56,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 1.67
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 1.87
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 2.56
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.56,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.7
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.56,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.1
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.56,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 2.56,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 2.18
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 2.07
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 2.1
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2.12
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 2.12
            }
          ]
        }
      ]
    },
    {
      "description": "Non-Adherent Drsg Sterile 2 in X 3 in Cardinal",
      "code_information": [
        {
          "code": "PX-CH55CDDS23S",
          "type": "CDM"
        },
        {
          "code": "A6402",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1.05,
          "discounted_cash": 0.68,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.86
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.8
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.05,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.86
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.05,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.58
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.05,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.67
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.05,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1.05,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.86
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.58
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.05,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.58
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.8
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.68
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.58
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.05,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.05,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.05,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.86
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.86
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.05,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.68
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 0.85
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.86
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.58
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.05,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.05,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.58
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.8
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.67
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.68
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 0.29
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.58
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.05,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.05,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.05,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.05,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 0.92
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.86
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 0.86
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.58
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.05,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.05,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.67
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.68
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.05,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.67
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 0.8
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 1.05
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.79
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.05,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 0.58
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.05,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 0.77
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 0.79
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 0.68
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 1.05,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.58
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 1.05,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 0.69
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 0.66
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 0.87
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 0.89
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 0.67
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 1.05,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 0.58
            }
          ]
        }
      ]
    },
    {
      "description": "Leg Bag Dispoz-a-Bag 19 Oz W Flip-Flo Valve Bagonly",
      "code_information": [
        {
          "code": "PX-CHBA150419",
          "type": "CDM"
        },
        {
          "code": "A4358",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 4.13,
          "discounted_cash": 2.68,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.65
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.1
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4.13,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 3.62
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.39
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3.42
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.27
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.27
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.13,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.13,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.13,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.51
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.13,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.39
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.27
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.1
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.39
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.27
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.13,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.13,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 3.34
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.69
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.29
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.65
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.13,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.13,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.16
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.13,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.51
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.69
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.39
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.39
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.27
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3.42
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.13,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.13,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.13,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.65
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 4.13,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.13,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.65
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.69
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.29
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 3.1
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.13,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.13,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 3.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.39
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.27
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.16
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.69
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.13,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 1.13
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 2.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.39
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.13,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 2.27
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.51
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.65
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 2.69
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.29
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 2.29
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 4.13
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 2.61
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 3.39
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.13,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.13,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.51
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.13,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 4.13,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 3.01
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 2.65
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 3.16
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 4.13,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.51
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 3.42
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 3.51
            }
          ]
        }
      ]
    },
    {
      "description": "Hydrocolloid Drsg Duoderm Cgf Border 4 in X 4 In",
      "code_information": [
        {
          "code": "PX-CHCV187971",
          "type": "CDM"
        },
        {
          "code": "A6237",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 14.98,
          "discounted_cash": 9.74,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 13.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 8.31
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 11.24
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 9.89
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 10.94
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12.73
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 13.18
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12.73
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 12.28
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 12.42
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12.73
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 9.75
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 11.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9.47
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 12.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 12.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 13.14
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9.47
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 12.12
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 8.31
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 14.98
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 9.74
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9.47
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 12.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 12.12
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12.73
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 8.31
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9.47
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.24
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9.47
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.24
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 9.75
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 9.75
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.62
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 11.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.24
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12.73
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 11.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.62
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.62
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 9.75
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 10.94
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 8.31
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 4.09
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 12.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 12.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 12.28
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 9.75
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 10.94
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 10.94
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9.47
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 11.24
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 12.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.24
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.24
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 12.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 11.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.62
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 14.98,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 10.94
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12.73
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 11.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.62
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 10.94
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12.73
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9.47
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 12.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 11.44
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 11.44
            }
          ]
        }
      ]
    },
    {
      "description": "Hspc Room and Bed Boundless / Franklin",
      "code_information": [
        {
          "code": "PX-65900215",
          "type": "CDM"
        },
        {
          "code": "T2046",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 502.32,
          "discounted_cash": 326.51,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 317.47
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 276.28
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 426.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 383.77
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 327.01
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 137.13
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 376.74
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 376.74
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 426.97
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 426.97
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 426.97
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 426.97
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 331.53
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 317.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 317.47
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 411.9
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 411.9
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 416.42
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 416.42
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 426.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 322.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 322.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 502.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 502.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 502.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 366.69
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 278.79
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 276.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 411.9
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 383.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 322.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 383.77
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 366.69
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 278.79
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 502.32,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 322.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 502.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 278.79
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 317.47
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 426.97
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 376.74
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 383.77
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 502.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 502.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 406.38
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 366.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 322.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 502.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 502.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 502.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 502.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 366.69
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 276.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 440.53
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 411.9
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 502.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 327.01
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 327.01
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 326.51
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 317.47
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 317.47
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 411.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 276.28
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 276.28
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 440.53
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 383.77
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 366.69
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 502.32
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 426.97
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 502.32,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 502.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 502.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 327.01
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 411.9
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 442.04
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 317.47
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 416.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 322.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 322.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 502.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 502.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 502.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 426.97
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 322.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 383.77
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 322.49
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 502.32,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 406.38
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 278.79
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 426.97
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 276.28
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 411.9
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 276.28
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 322.49
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 322.49
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 366.69
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 322.49
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 426.97
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 317.47
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 411.9
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 327.01
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 426.97
            }
          ]
        }
      ]
    },
    {
      "description": "2 Pc Pre Cut Ext Wear Cvx 1 1-8 in Sur-Fit Natura",
      "code_information": [
        {
          "code": "PX-CHCV413182",
          "type": "CDM"
        },
        {
          "code": "A4407",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 15.23,
          "discounted_cash": 9.9,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9.63
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 12.49
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 11.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC POS/EPO [625220]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESSENTIAL/PLUS/CONNECT/SNP HMO [334300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.23,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 12.49
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 13.36
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC AARP MEDICARE COMPLETE [624335]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.23,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "SRC/AETNA AFF HEALTH CH/PPO INDEM [310270]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 9.91
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 12.32
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 9.91
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11.12
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ACCESS/ENHANCED/CORE PPO/RPPO [334305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.23,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA TRADITIONAL CHOICE INDEMNIT [310245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.78
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9.63
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE HMO/HMO-POS [624305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.23,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO [485210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "GENERAL AMERICAN LIFE OHCP [535220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 12.49
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE HMO [486110]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.23,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA DUAL OPTIONS MYCAREOHIO [264305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.23,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC CHOICE [625225]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11.12
            },
            {
              "payer_name": "ANTHEM MANAGED MEDICARE [334]",
              "plan_name": "ANTHEM MEDIBLUE ESS HMO COPC SENIOR CARE [334310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.23,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 8.45
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12.95
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12.95
            },
            {
              "payer_name": "SEORMC [545]",
              "plan_name": "SEORMC MEDBEN [545100]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 66,
              "estimated_amount": 10.05
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN CHOICE PPO [310210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OSU STUDENT RESOURCES [625290]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 9.91
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 9.91
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE ADVANTAGE OHC [553225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11.12
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 8.45
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.38
            },
            {
              "payer_name": "MOLINA MANAGED MEDICARE [264]",
              "plan_name": "MOLINA MEDICARE COMPLETE/CHOICE CARE [264300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.23,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9.63
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/RIVER VALLEY CHOICE PLUS [625265]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CHOICE [553315]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11.12
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12.95
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA-ONLY CHOICE CARE NTWK [465200]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.23,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MYCARE OHIO MCR AND MCD [314310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.23,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "THE HEALTH PLAN [265]",
              "plan_name": "THE HEALTH PLAN HMO PPO MEDICARE ADV [265100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.23,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12.95
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 13.4
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 11.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OXFORD [625260]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "HEALTH SMART [493205]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.23,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/GOLDEN RULE [625270]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 4.16
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9.63
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UNITEDHEALTHCARE DUAL COMPLETE (HMO SNP) [624315]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.23,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "BUCKEYE MANAGED MEDICARE [285]",
              "plan_name": "ALLWELL BUCKEYE HEALTH PLAN MEDICARE ADV [285100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.23,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CARESOURCE MANAGED MEDICARE [254]",
              "plan_name": "CARESOURCE ADVANTAGE [254300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.23,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 8.45
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 11.42
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.78
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12.95
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "BUCKEYE MEDICAID COMMUNITY HEALTH PLAN [280405]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 15.23,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 11.42
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 12.49
            },
            {
              "payer_name": "UHC MANAGED MEDICARE [624]",
              "plan_name": "UHC MEDICARE PPO [624310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.23,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST HEALTHCARE PPO [550205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 12.63
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12.95
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 12.49
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 12.49
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH* [540240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.38
            },
            {
              "payer_name": "MMO MANAGED MEDICARE [486]",
              "plan_name": "MMO MANAGED MEDICARE PPO [486100]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.23,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR GOLD PLUS HMO [464300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.23,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12.95
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 11.42
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 11.64
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 11.64
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "HEALTHPARTNERS CIGNA [370240]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 9.91
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU PRIME CARE CONNECT OHC [553245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11.12
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 11.12
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12.95
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTHREACH PREFERRED [310203]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 11.64
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC STUDENT RESOURCES [625255]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "BUCKEYE COMMUNITY PLAN [280]",
              "plan_name": "CENPATICO [280400]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid as a percent of APC rate.",
              "estimated_amount": 15.23,
              "additional_payer_notes": "OUTPATIENT"
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12.95
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 13.36
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 12.49
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (HMO) [314300]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.23,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.38
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.38
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 11.64
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 15.23
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9.63
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 12.49
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 8.38
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 12.63
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS ELECT CHOICE [310200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.78
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 9.78
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 15.23,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 12.32
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BLUE/PREF/HMO/PPO [335230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 8.45
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 9.63
            },
            {
              "payer_name": "AETNA MANAGED MEDICARE [314]",
              "plan_name": "AETNA MEDICARE PLAN (PPO) [314305]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.23,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 12.63
            },
            {
              "payer_name": "HUMANA MANAGED MEDICARE [464]",
              "plan_name": "HUMANA MCR ADVANTAGE CHOICE PPO [464310]",
              "methodology": "other",
              "standard_charge_algorithm": "Paid using APC or APG reimbursement logic. Includes reimbursement for any outliers.",
              "estimated_amount": 15.23,
              "additional_payer_notes": "OPPS APC"
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 12.95
            }
          ]
        }
      ]
    },
    {
      "description": "Biofeedback Training Perineal Anorectal or Urethral Sphincter Initial 15 Min",
      "code_information": [
        {
          "code": "PX-44000048",
          "type": "CDM"
        },
        {
          "code": "90912",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 170,
          "discounted_cash": 110.5,
          "payers_information": [
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED PPO ACCESS/TPA [485230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 149.09
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OSU STUDENT HEALTH INSRNCE [310206]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 109.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "MERITAIN AETNA [310325]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 109.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "NIPPON AETNA [310330]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 129.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC/HERITAGE PLUS [625295]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 170,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA HMO/NTWK/OACCESS/OA+/POS [370225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 110.67
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE PPO [555205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 144.5
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR OPTIONS [625335]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 170,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA BEHAVIORAL HEALTH [370200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 110.67
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "MVP CIGNA [370425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 110.67
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM BC TRADITIONAL [335200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 100,
              "estimated_amount": 170
            },
            {
              "payer_name": "HUMANA [465]",
              "plan_name": "HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65,
              "estimated_amount": 110.5
            },
            {
              "payer_name": "FIRST HEALTH [408]",
              "plan_name": "FIRST HEALTH* [408200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 144.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MUTUAL HEALTH SERVICES MMO [485260]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 107.44
            },
            {
              "payer_name": "OHIO PREFERRED NETWORK [546]",
              "plan_name": "ZELIS NETWORK SOLUTIONS STRATOSE* [546200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 88,
              "estimated_amount": 149.6
            },
            {
              "payer_name": "FLORA [411]",
              "plan_name": "FLORA HEALTH NETWORK* [411200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 144.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "UPMC MMO [485245]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 107.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO PPO CONNECT [535225]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 139.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AULTCARE HEALTHREACH [540405]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 93.5
            },
            {
              "payer_name": "IHG [492]",
              "plan_name": "INTERPLAN HEALTH GROUP (IHG)* [492200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 144.5
            },
            {
              "payer_name": "AHPO [305]",
              "plan_name": "AHPO (ACCNTBL HEALTH PLAN OF OH) [305200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 144.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 129.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK AETNA [310335]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 129.88
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "HEALTHSCOPE UHC WHIRLPOOL [625340]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 170,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "BCBS OUT OF STATE MISC [335690]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 94.35
            },
            {
              "payer_name": "OHIOHEALTHY MEDICAL PLAN [556]",
              "plan_name": "GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 27.3,
              "estimated_amount": 46.41
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA OPEN ACCESS MANAGED CHOICE [310201]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 109.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OPTIONS PPO [625210]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 170,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA PPO/EPO/FUNDAMENTAL CARE [370210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 137.53
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM FEDERAL GOVT [335205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 94.35
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT MEIJER STEPS2HEALTH [555210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 144.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED SEL POS [485215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 107.44
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "CIGNA SELECT/GREAT WEST HEALTH [550200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 140.93
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA SIGNATURE PPO*/TPA [310202]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 129.88
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH NETWORK OPTION [310290]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 109.14
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "HEALTHSCOPE AETNA [310320]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 129.88
            },
            {
              "payer_name": "COFINITY [407]",
              "plan_name": "COFINITY* [407200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 144.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL OF OH TRADITIONAL [485200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 87.7,
              "estimated_amount": 149.09
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "TRUSTMARK/CORESOURCE OHCP [535345]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 139.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH OH [540410]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 93.5
            },
            {
              "payer_name": "EMERALD [395]",
              "plan_name": "EMERALD HEALTH NETWORK (PPO)* [395205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 144.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MEDICAL MUTUAL SUPERMED CLASSIC [485205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 107.44
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "AVALON HEALTHREACH WV [540415]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 93.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HEALTH FUND [310250]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 109.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC GEHA [625285]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 170,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "HEALTHSMART [493]",
              "plan_name": "AULTCARE-HEALTHSMART [493215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 144.5
            },
            {
              "payer_name": "PARAMOUNT [555]",
              "plan_name": "PARAMOUNT HEALTHCARE HMO [555200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 144.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "AETNA HMO QPOS/SELECT [310215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 64.2,
              "estimated_amount": 109.14
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC OHIO UNIVERSITY STUDENT RESOURCES [625300]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 170,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC UMR CHOICE PLUS [625250]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 170,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA CHOICE FUND-ANY CHOICE FUND [370220]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 65.1,
              "estimated_amount": 110.67
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK OPEN ACCESS [443205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 127.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHCP MEDBEN [535205]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 139.4
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH MEDBEN [540425]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 93.5
            },
            {
              "payer_name": "HEALTHREACH [540]",
              "plan_name": "HEALTHREACH EBSC [540420]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55,
              "estimated_amount": 93.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MMO SUPERMED PPO STATE OF OH [485255]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 107.44
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "AULTCARE PPO CONNECT [535355]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 139.4
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC NAVIGATE [625280]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 170,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC PPO OHC [553305]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 124.1
            },
            {
              "payer_name": "HEALTHLINK [443]",
              "plan_name": "HEALTH LINK PPO [443200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 127.5
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "SEORMC MEDBEN [535350]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 139.4
            },
            {
              "payer_name": "GREATWEST [550]",
              "plan_name": "GREAT WEST CONSUMER ADVANTAGE* [550210]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82.9,
              "estimated_amount": 140.93
            },
            {
              "payer_name": "INHEALTH MUTUAL [494]",
              "plan_name": "INHEALTH MUTUAL PPO [494200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 75,
              "estimated_amount": 127.5
            },
            {
              "payer_name": "MMO [485]",
              "plan_name": "MED MUTUAL SUPERMED HMO [485235]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 63.2,
              "estimated_amount": 107.44
            },
            {
              "payer_name": "UHC [625]",
              "plan_name": "UHC TPA/SHARED SERVICES* [625275]",
              "methodology": "other",
              "standard_charge_algorithm": "Service paid by fee schedule.",
              "estimated_amount": 170,
              "additional_payer_notes": "LAB FEE SCHEDULE"
            },
            {
              "payer_name": "CIGNA [370]",
              "plan_name": "CIGNA TPA* [370230]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 80.9,
              "estimated_amount": 137.53
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU BASIC OUT OF AREA OHC [553300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 124.1
            },
            {
              "payer_name": "COVENTRY [406]",
              "plan_name": "COVENTRY HEALTH NETWORK* [406200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 85,
              "estimated_amount": 144.5
            },
            {
              "payer_name": "AETNA [310]",
              "plan_name": "TRUSTMARK/CORESOURCE AETNA [310340]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 76.4,
              "estimated_amount": 129.88
            },
            {
              "payer_name": "OSU [553]",
              "plan_name": "OSU OUT OF AREA OHC [553310]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 73,
              "estimated_amount": 124.1
            },
            {
              "payer_name": "ANTHEM [335]",
              "plan_name": "ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 55.5,
              "estimated_amount": 94.35
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "FRONTPATH HEALTH COALITION OHCP [535215]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 139.4
            },
            {
              "payer_name": "OHIO HEALTH CHOICE [535]",
              "plan_name": "OHIO HEALTH CHOICE PLAN (OHCP) [535200]",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 82,
              "estimated_amount": 139.4
            